THE RAVEN INSTITUTE, INC. (NPI# 1245744796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245744796 |
| Entity Type | Organization |
| Organization Name | THE RAVEN INSTITUTE, INC. |
| Practice Address |
580 Curtis Rd Lot 4 Hinesville GA 31313-7055 |
| Practice Telephone | 9123184741 |
| Mailing Telephone | 9123184741 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-11-08 |
| Authorized Official Name | DR. TROY FOSKEY JR. (DIRECTOR/SENIOR PRACTITIONER) |
| Authorized Official Telephone | 9123184741 |
| Authorized Official Credential | F-MD, PHD, NP, C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
GA | Behavioral Health & Social Service Providers | |
| N | 333300000X | Emergency Response System Companies | Suppliers | ||
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 168 E Academy St, Ludowici, GA 31316 | 9125453468 |
| Street Address |
580 CURTIS RD LOT 4 |
| City | HINESVILLE |
| State | GA |
| Zip Code | 31313-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568934933 | Melissa R Jenkins | Counselor | 580 Curtis Rd Lot 4, Hinesville, GA 31313-7055 | 2018-12-26 |
| 1528544202 | Troy Foskey Jr. | Counselor | 580 Curtis Rd Lot 4, Hinesville, GA 31313-7055 | 2018-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877469 | Brennan Roger Milbury | Naturopath | 4876 Ga 196 W, Hinesville, GA 31313 | 2020-06-26 |
| 1558982660 | Hinesville Day Spa LLC | Massage Therapist | 951 E G Miles Pkwy, Suite B, Hinesville, GA 31313 | 2020-04-29 |
| 1104459932 | Johnny Roger Terry | Counselor | 115 W Oglethorpe Hwy, Hinesville, GA 31313 | 2020-02-20 |
| 1043875594 | Liberty Regional Medical Center | Pharmacy | 462 Elma G. Miles Parkway, Hinesville, GA 31313 | 2019-05-09 |
| 1730646811 | Jennifer Lee Reffeor | Nurse Practitioner | 109 W Oglethorpe Highway, Hinesville, GA 31313 | 2019-02-26 |
| 1760907968 | Kenya Dominic | Specialist | 445 E.g. Miles Parkway Ste 207, Hinesville, GA 31313 | 2017-08-08 |
| 1902358393 | Tricia Amelung | Nurse Practitioner | 512 South Main St., Suite 1a, Hinesville, GA 31313 | 2016-11-01 |
| 1881065449 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 801-a East General Stewart Way, Hinesville, GA 31313 | 2015-10-08 |
| 1245614916 | Tracey Bazemore | Counselor | 318 S. Wellborn Street, Suite C, Hinesville, GA 31313 | 2015-07-13 |
| 1831592021 | Jennifer Grisnik | Behavioral Analyst | 306 N. Main St., Suite 1a1, Hinesville, GA 31313 | 2014-10-01 |
| Find all providers in zip 31313 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144755489 | Verinese Garnier | Prevention Professional | 619 Hampton St, Hinesville, GA 31313-3535 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679031272 | My Pharmacare | Prevention Professional | 3907 Macon Rd Ste C, Columbus, GA 31907-2292 | 2019-03-04 |
| 1679009054 | Michael Dean Ciepiela | Prevention Professional | 12897 Gransley Ct, Alpharetta, GA 30009-3102 | 2017-05-04 |
| 1134741697 | Attest Wellness, LLC | Prevention Professional | 1201 W Peachtree St Nw Ste 2300, Atlanta, GA 30309-3453 | 2020-05-07 |
| 1760940571 | Tlk Photography,llc | Prevention Professional | 303 Perimeter Ctr N Ste 300, Atlanta, GA 30346-3401 | 2019-03-11 |
| 1730608522 | Populations and Interventions Team Company | Prevention Professional | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-13 |
| 1548796063 | Aaron Herndon | Prevention Professional | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-05-03 |
| 1528509635 | Timothy Smith | Prevention Professional | 5510 Veterans Pkwy, Columbus, GA 31904-4491 | 2017-03-09 |
| City | HINESVILLE |
| Zip Code | 31313 |
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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.