OrganizationActive
12th Avenue Services LLC
NPI 1023879186 · Mental Health Counselor · Clarkston, MI
Provider details
- NPI number
- 1023879186
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Authorized official
- Abigail Blackshire, Chief Executive Officer
Practice location
5541 Warbler Dr
Clarkston, MI 48346-2965
Phone: (248) 795-5253
Fax: (248) 928-5350
Mailing address
5541 Warbler Dr
Clarkston, MI 48346-2965
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.