MCINTOSH TRAIL CSB NPI 1649495268

NPI Information

NPI: 1649495268
Provider Name: MCINTOSH TRAIL CSB
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 136 N HILL ST
GRIFFIN, GA
ZIP 30223
Phone: (770) 358-8470

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NPI Details

MCINTOSH TRAIL CSB is a mental health (including community mental health center) clinic center in Griffin, GA. MCINTOSH TRAIL CSB NPI is 1649495268. The provider is registered as an organization entity type.

The provider's business location address is:

136 N HILL ST
GRIFFIN, GA
ZIP 30223-335
Phone: (770) 358-8470

The provider's authorized official is Linda P. Robinson .
The authorized official title is Addictive Disease Coordinator and has the following contact phone number (770) 358-8470.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	000427	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1000	OTHER	GEORGIA	CERTIFIEDADDICTIONCOUN II
2	000427	OTHER	GEORGIA	LIC.CLINICALSOCIALWORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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