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McIntosh Trail Community Service Board

Organization Active NPI Community/Behavioral Health Agency · Barnesville, GA

NPI 1124295571 · NPPES record last updated Jun 19, 2025

Key facts

NPI
1124295571
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
Practice address
130 Library Street
Barnesville, GA 30204
Phone
(770) 358-5252
Fax
(770) 229-3223
NPI assigned
May 14, 2008
Organization subpart
No

Authorized official

Name
Kenyatta Denise Walker, LCSW
Title
Ceo
Phone
(770) 358-5252

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
McIntosh Trail CSB (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

130 Library Street
Barnesville, GA 30204

Mailing address

1435 North Expressway Suite 301
Griffin, GA 30223
Phone (770) 358-5252

Other identifiers

IdentifierTypeStateIssuer
000601609AHMedicaidGA

Other names

  • Lamar County Counseling Center Doing business as

Other providers in Barnesville, GA

All providers in Barnesville, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.