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General NPI Number Information
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NPI Number | 1801305354
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Entity Type | Organization
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Legal Business Name | THE DECISION TREE, LLC
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2525 MOODY RD STE 121
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City | WARNER ROBINS
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State | GA
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Zip | 31088-6110
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Country | US
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Telephone | 478-225-2044
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Fax | 478-225-2043
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Provider Business Mailing Address
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Address Line | 2525 MOODY RD STE 121
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City | WARNER ROBINS
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State | GA
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Zip | 31088-6110
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Country | US
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Telephone | 478-225-2044
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Fax | 478-225-2043
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DEBORAH MONTAGUE KINLAW
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Credential | LCSW, MAC
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Telephone | 678-304-8973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | CSW004819
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License Number State | GA
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