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MCINTOSH TRAIL COMMUNITY SERVICE BOARD
NPI 1689852840
Community/Behavioral Health in Fayetteville, GA

Active since February 08, 2008
245 BOOKER AVE, SUITE F, FAYETTEVILLE, GA 30215(770) 358-5252(770) 229-3223 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Dec 17, 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 1689852840), doing business as Fayette Co Counseling Center, is a healthcare organization registered as a community/behavioral health in Fayetteville, Georgia and active in the NPI registry since February 2008. The organization lists Kenyatta Denise Walker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689852840
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMCINTOSH TRAIL COMMUNITY SERVICE BOARD
Location Address245 BOOKER AVE, SUITE FFayetteville, GA 30215
Mailing Address1435 North Expressway Suite 301Griffin, GA 30223 · (770) 358-5252 · Fax (770) 229-3223
Phone(770) 358-5252
Fax(770) 229-3223
Organization SubpartNo
Authorized OfficialKenyatta Denise WalkerCeo · (770) 358-5252
Enumeration DateFebruary 8, 2008
Last NPPES UpdateJune 23, 20252 updates tracked since enumeration
✔ NPI 1689852840 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.
245 BOOKER AVE, Fayetteville, GA 30215
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Other Names 1

Doing Business AsFayette Co Counseling Center

Other Identifiers 1

Medicaid000601609MGA

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 1689852840. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is doing business as Fayette Co Counseling Center.

Where is Mcintosh Trail Community Service Board located?

Mcintosh Trail Community Service Board is located at 245 Booker Ave Suite F, Fayetteville, GA 30215. 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.

When was this NPI record last updated?

The NPPES record for Mcintosh Trail Community Service Board was last updated on June 23, 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.