DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DECOACH TEAM LLC

MEDICARE: DECOACH TEAM LLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1578037552
Entity Type Code : Organization
Provider Name (Legal Business Name) : DECOACH TEAM LLC
Provider Business Mailing Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number :
Provider Business Practice Location Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number :
Authorized Official
Title or Position : CEO
Name : KIMBERLY SUE BARROWS
Credential :
Telephone Number : 513-818-5146
Provider Enumeration Date : 01/14/2019
Last Update Date : 05/24/2024

Similar Medicare Providers

1801289251 — MELISSA D BECKETT
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 855-577-7284
Practice Fax:
1366992224 — DECOACH TEAM LLC
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax: 513-737-1107
1124539903 — WILLIAM SOTO
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1215539317 — VICTORIA ANN HORNEY BA, LSW, CDCA
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1003642471 — EDEN A POCAI
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:
1700613320 — BRANDY GAYHEART
Practice Location Address:
100 CROWNE POINT PL
CINCINNATI, OH
45241-5427
Practice Phone: 513-743-7628
Practice Fax:

Directions to “DECOACH TEAM LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.