Healthcare Provider Details

I. General information

NPI: 1689385288
Provider Name (Legal Business Name): ORY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 WINFIELD RD STE 200
WARRENVILLE IL
60555-4023
US

IV. Provider business mailing address

4320 WINFIELD RD STE 200
WARRENVILLE IL
60555-4023
US

V. Phone/Fax

Practice location:
  • Phone: 630-998-5994
  • Fax:
Mailing address:
  • Phone: 630-998-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAIMEE CLAIRE ORY
Title or Position: CLINICAL THERAPIST
Credential: LCSW, CRADC
Phone: 630-998-5994