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Organization

ORANGE TREE PSYCHOTHERAPY LLC

Active
Other names
Orange Tree Psychotherapy
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS RUDGEAR LPC (PRACTICE ADMINISTRATOR)
(602) 536-9321
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/30/2023
Last updated
03/22/2026
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