Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ravens Nest Foundation Inc

Organization Counselor · NPI 1578867982

Ravens Nest Foundation Inc is a Counselor in Austell, Georgia. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1680 Mulkey Rd Ste 200
Austell, GA 30106-1364
Phone: (770) 819-6825
Fax: (770) 819-6826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X
Contractor Taxonomy 171W00000X
Specialist Taxonomy 174400000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) Taxonomy 261QR0401X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X
Children's Substance Abuse Rehabilitation Facility Taxonomy 3245S0500X

Record details

NPI number1578867982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelby Green — Ceo · (770) 819-6825
NPI enumeratedDecember 28, 2010
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address1680 Mulkey Rd Ste 200, Austell, GA 30106-1364

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