MCINTOSH TRAIL COMMUNITY SERVICE BOARD (NPI# 1073782447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073782447 |
| Entity Type | Organization |
| Organization Name | MCINTOSH TRAIL COMMUNITY SERVICE BOARD |
| Practice Address |
403 Saddlecreek Drive Mcdonough GA 30253-8916 |
| Mailing Address |
1501a Kalamazoo Dr Griffin GA 30224-3919 |
| Practice Telephone | 7702293125 |
| Mailing Telephone | 7703588250 |
| Mailing Fax Number | 7702293223 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | PAMELA MCCOLLUM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7703588251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871762252 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 1112 Broad Sreet, Griffin, GA 30223-2604 | 2008-02-29 |
| 1780853168 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 180 Watson Street, Jackson, GA 30233-1536 | 2008-02-29 |
| 1003085473 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 221 Laurel Street, Griffin, GA 30224-4731 | 2008-02-29 |
| 1699944074 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 13 Birnam Woods Road, Griffin, GA 30223-6684 | 2008-02-29 |
| 1952570335 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 318 North 3rd Street, Griffin, GA 30223-3354 | 2008-02-29 |
| 1184893547 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 418 Meriwether Street, Griffin, GA 30224-4135 | 2008-02-29 |
| 1740459114 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 430 West Broad Street, Griffin, GA 30223-2826 | 2008-02-29 |
| 1336317270 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 1459 Williamson Rd, Griffin, GA 30224-8428 | 2008-02-13 |
| 1265610406 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 463 Ernest Biles Dr, Suite B, Jackson, GA 30233-2229 | 2008-02-08 |
| 1386708212 | Mcintosh Trail Community Service Board | Community/Behavioral Health | 1435 N Expressway, Suite 301, Griffin, GA 30223-9014 | 2006-12-22 |
| Street Address |
403 SADDLECREEK DRIVE |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710544309 | Individual and Family Matters, LLC | Community/Behavioral Health | 821 Pavilion Ct Ste F, Mcdonough, GA 30253-6790 | 2019-05-20 |
| 1801324983 | Rha Health Services Ga LLC | Community/Behavioral Health | 718 Oak Grove Rd, Mcdonough, GA 30253-5345 | 2017-06-01 |
| 1033663034 | A Recovery Place Counseling LLC | Community/Behavioral Health | 162 Keys Ferry St, Mcdonough, GA 30253-3225 | 2016-08-08 |
| 1043677362 | Counseling, Inc. | Community/Behavioral Health | 6230 Winston Trce, Mcdonough, GA 30252-6998 | 2016-01-17 |
| 1801064746 | Mcintosh Trail Csb | Community/Behavioral Health | 672 Industrial Blvd, Mcdonough, GA 30253-6611 | 2008-02-13 |
| 1467672337 | God's Promise Center, Inc. | Community/Behavioral Health | 211 Bella Vista Ter, Mcdonough, GA 30253-8663 | 2007-04-26 |
| 1396365094 | Beyond Your Ordinary, Inc. | Community/Behavioral Health | 97 Atlanta St Ste 100, Mcdonough, GA 30253-2192 | 2020-04-22 |
| 1861987828 | Brilliance Revealed Mental Health, Inc. | Community/Behavioral Health | 1700 Pennsylvania Ave, Mcdonough, GA 30253-9115 | 2018-06-22 |
| 1902265333 | Sbz Services Unlimited, Inc | Community/Behavioral Health | 125 S Zack Hinton Pkwy, Mcdonough, GA 30253-3335 | 2016-02-12 |
| 1619349065 | The Invisible Counselor, LLC | Community/Behavioral Health | 38 Hampton St, Mcdonough, GA 30253-3173 | 2015-10-26 |
| Find all providers in MCDONOUGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.