12th Avenue Services LLC
NPI 1023879186 · Mental Health Counselor · Clarkston, MI
12th Avenue Services LLC is a Mental Health Counselor organization in Clarkston, MI (NPI 1023879186).
Provider details
- NPI number
- 1023879186
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Abigail Blackshire, Chief Executive Officer(248) 795-5253
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Frequently asked questions
- What is 12th Avenue Services LLC's NPI number?
- 12th Avenue Services LLC's National Provider Identifier (NPI) is 1023879186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 12th Avenue Services LLC?
- 12th Avenue Services LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is 12th Avenue Services LLC located?
- 12th Avenue Services LLC's practice location on file with NPPES is 5541 Warbler Dr, Clarkston, MI 48346-2965.
- What is 12th Avenue Services LLC's phone number?
- The practice phone number listed in the NPPES registry for 12th Avenue Services LLC is (248) 795-5253.
- Who is the authorized official for 12th Avenue Services LLC?
- The authorized official listed on 12th Avenue Services LLC's NPPES record is Abigail Blackshire, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 12th Avenue Services LLC's NPI active?
- Yes — 12th Avenue Services LLC's NPI (1023879186) is active in the NPPES registry as of the last update on 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.