Ravens Nest Foundation Inc
Psychiatry | Child & Adolescent Clinic
1680 Mulkey Rd Ste 200, Austell
Georgia, 30106-1364
770-819-6825 770-819-6826
Maps & DirectionsRavens Nest Foundation Inc is a Psychiatry | Child & Adolescent Clinic in Austell, Georgia. It is located at 1680 Mulkey Rd Ste 200, Austell, GA and its contact number is 770-819-6825. The authorized person for Ravens Nest Foundation Inc is Ms. Shelby Green
who is Ceo of the clinic and his/her contact number is 770-819-6825.
Ravens Nest Foundation Inc Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Ravens Nest Foundation Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ravens Nest Foundation Inc |
| Specialization: | Child & Adolescent |
| Clinic Address: | 1680 Mulkey Rd Ste 200, Austell,
Georgia, 30106-1364 |
| Phone: | 770-819-6825 |
| Fax: | 770-819-6826 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Shelby Green |
| Position: | Ceo |
| Contact Number: | 770-819-6825 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ravens Nest Foundation Inc clinic are as mentioned below.
| NPI Number: | 1578867982 |
| NPI Enumeration Date: | 28 Dec, 2010 |
| NPI Last Update On: | 28 Jan, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ravens Nest Foundation Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Mental Health (Including Community Mental Health Center) | | | Primary | |
| Child & Adolescent Psychiatry | | | Secondary | |
| Case Management | | | Secondary | |
| Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | | | Secondary | |
| Counselor | | | Secondary | |
| Community/behavioral Health | | | Secondary | |
| Substance Abuse Treatment, Children | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Social Worker | | | Secondary | |
| Specialist | | | Secondary | |
| Contractor | | | Secondary | |
| Substance Abuse Rehabilitation Facility | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 003261381A | Medicaid | Georgia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ravens Nest Foundation Inc
1680 Mulkey Rd Ste 200,
Austell, Georgia |
| Zip: | 30106-1364 |
| Phone Number: | 770-819-6825 |
| Fax Number: | 770-819-6826 |
Patients can reach Ravens Nest Foundation Inc at
1680 Mulkey Rd Ste 200, Austell, Georgia or can
call to book an appointment on 770-819-6825.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.