MEDICARE: ORANGE TREE COUNSELING AND CONSULTING, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114819497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE TREE COUNSELING AND CONSULTING, INC

Provider Business Mailing Address
First Line	:	155 N MICHIGAN AVE STE 760A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601-7711
Country	:	US
Telephone Number	:	312-725-4088
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 N ORANGE AVE STE 2300-N
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-1640
Country	:	US
Telephone Number	:	312-725-4088
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BRENDA REAVIS
Credential	:	LCSW
Telephone Number	:	312-725-4088

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	07/19/2025

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