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

12th Avenue Services LLC

Organization Mental Health Counselor · NPI 1023879186

12th Avenue Services LLC is a Mental Health Counselor in Clarkston, Michigan. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5541 Warbler Dr
Clarkston, MI 48346-2965
Phone: (248) 795-5253
Fax: (248) 928-5350
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1023879186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abigail Blackshire — Chief Executive Officer · (248) 795-5253
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address5541 Warbler Dr, Clarkston, MI 48346-2965

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