MCINTOSH TRAIL COMMUNITY SERVICE BOARD
NPI 1124295571
Community/Behavioral Health in Barnesville, GA

Active since May 14, 2008CLIA 11D0913411 · Waiver
130 LIBRARY STREET, BARNESVILLE, GA 30204(770) 358-5252(770) 229-3223 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Dec 18, 2015 (2 updates tracked since 2015).

About Mcintosh Trail Community Service Board NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCINTOSH TRAIL COMMUNITY SERVICE BOARD (NPI 1124295571), doing business as Lamar County Counseling Center, is a healthcare organization registered as a community/behavioral health in Barnesville, Georgia and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Kenyatta Denise Walker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124295571
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMCINTOSH TRAIL COMMUNITY SERVICE BOARD
Location Address130 LIBRARY STREETBarnesville, GA 30204
Mailing Address1435 North Expressway Suite 301Griffin, GA 30223 · (770) 358-5252 · Fax (770) 229-3223
Fax(770) 229-3223
Organization SubpartNo
Authorized OfficialKenyatta Denise WalkerCeo · (770) 358-5252
Enumeration DateMay 14, 2008
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPI 1124295571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
130 LIBRARY STREET, Barnesville, GA 30204

Other Names 1

Doing Business AsLamar County Counseling Center

Other Identifiers 1

Medicaid000601609AHGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0913411

Mcintosh Trail Community Service Board · Griffin, GA
Active · expires Mar 31, 2028
CLIA Number11D0913411
Laboratory TypeOther
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLenora Allen MD
Laboratory Phone(770) 358-5248
Laboratory LocationMcintosh Trail Community Service Board1209 Greenbelt Drive, Griffin, GA 30223
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcintosh Trail Community Service Board's NPI number?

The NPI number for Mcintosh Trail Community Service Board is 1124295571. It was assigned to this organization in the NPPES registry on May 14, 2008. The provider is doing business as Lamar County Counseling Center.

Where is Mcintosh Trail Community Service Board located?

Mcintosh Trail Community Service Board is located at 130 Library Street, Barnesville, GA 30204. The listed phone number is (770) 358-5252.

What is Mcintosh Trail Community Service Board's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Mcintosh Trail Community Service Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0913411) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcintosh Trail Community Service Board was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.