| The Decision Tree, Llc | |
|
2525 Moody Rd Ste 121 Warner Robins GA 31088-6110 | |
| (478) 225-2044 | |
| (478) 225-2043 |
| Full Name | The Decision Tree, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2525 Moody Rd Ste 121, Warner Robins, Georgia |
| Authorized Official Name and Position | Deborah Montague Kinlaw (OWNER/OPERATOR) |
| Authorized Official Contact | 9125208084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Decision Tree, Llc 2525 Moody Rd Ste 121 Warner Robins GA 31088-6110 Ph: (478) 225-2044 | The Decision Tree, Llc 2525 Moody Rd Ste 121 Warner Robins GA 31088-6110 Ph: (478) 225-2044 |
| NPI Number | 1801305354 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 4183980444 |
|---|---|
| Medicare Enrollment ID | O20171102002394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801305354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | CSW004819 (Georgia) | Primary |
| Provider Name | Deborah Kinlaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225342058 PECOS PAC ID: 2668626201 Enrollment ID: I20130206000314 |
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