# ORANGE TREE PSYCHOTHERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange Tree Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962287508
- **Authorized official:** NICHOLAS RUDGEAR LPC (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (602) 536-9321

## Contact information

- **Practice address:** 1440 E MISSOURI AVE STE 160, PHOENIX, AZ 85014-2542
- **Practice address phone:** (602) 878-8142
- **Practice address fax:** (602) 563-8150
- **Mailing address:** 1440 E MISSOURI AVE STE 160, PHOENIX, AZ 85014-2542
- **Mailing address phone:** (602) 878-8142
- **Mailing address fax:** (602) 563-8150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 03/22/2026