MCINTOSH TR MH MR SA CSB
NPI 1265610406
Community/Behavioral Health in Jackson, GA

Active since February 08, 2008
463 ERNEST BILES DR, SUITE B, JACKSON, GA 30233(770) 775-2676 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mcintosh Tr Mh Mr Sa Csb NPPES

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

MCINTOSH TR MH MR SA CSB (NPI 1265610406) is a healthcare organization registered as a community/behavioral health in Jackson, Georgia and active in the NPI registry since February 2008. The organization lists Shari Thomas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265610406
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMCINTOSH TRAIL COMMUNITY SERVICE BOARD
Location Address463 ERNEST BILES DR, SUITE BJackson, GA 30233-2229
Mailing Address1435 N Expressway, Suite 301Griffin, GA 30223-9016 · (770) 358-8250 · Fax (770) 229-3223
Organization SubpartNo
Authorized OfficialShari ThomasCfo · (770) 358-8254
Enumeration DateFebruary 8, 2008
Last NPPES UpdateDecember 17, 2015
NPI 1265610406 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.
463 ERNEST BILES DR, Jackson, GA 30233

Other Names 1

Other NameMcintosh Tr Mh Mr Sa Csb

Other Identifiers 1

Medicaid000601609AGA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
463 ERNEST BILES DR
JACKSON, GA 30233
Social Worker (Clinical)
463 ERNEST BILES DR, SUITE B
JACKSON, GA 30233
Counselor (Addiction (Substance Use Disorder))
463 ERNEST BILES DR
JACKSON, GA 30233
Clinic/Center (Public Health, State or Local)
463 ERNEST BILES DR, SUITE A
JACKSON, GA 30233

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 1265610406. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is also known as Mcintosh Tr Mh Mr Sa Csb.

Where is Mcintosh Trail Community Service Board located?

Mcintosh Trail Community Service Board is located at 463 Ernest Biles Dr Suite B, Jackson, GA 30233. The listed phone number is (770) 775-2676.

What is Mcintosh Trail Community Service Board's specialty?

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

When was this NPI record last updated?

The NPPES record for Mcintosh Trail Community Service Board was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.