MEDICARE: THE DECISION TREE, 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
1	1041C0700X	Clinical Social Worker
2	261QH0100X	Health Service Clinic/Center	CSW004819	GA

General Provider Information

NPI Number	:	1801305354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DECISION TREE, LLC

Provider Business Mailing Address
First Line	:	2525 MOODY RD STE 121
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-6110
Country	:	US
Telephone Number	:	478-225-2044
Fax Number	:	478-225-2043

Provider Business Practice Location Address
First Line	:	2525 MOODY RD STE 121
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31088-6110
Country	:	US
Telephone Number	:	478-225-2044
Fax Number	:	478-225-2043

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DEBORAH MONTAGUE KINLAW
Credential	:	LCSW, MAC
Telephone Number	:	678-304-8973

Provider Enumeration Date	:	09/28/2017
Last Update Date	:	10/07/2025

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Directions to “THE DECISION TREE, LLC ” Practice Location

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