Organization
AUTISM AND NEURODIVERSITY SERVICES
Active
Organization
AUTISM AND NEURODIVERSITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BLAKE PHD (CEO)
(989) 778-1055
Entity
Organization
Contact information
Practice address
914 N EUCLID AVE, BAY CITY, MI 48706-2467
(989) 778-1055
(844) 239-2996
Mailing address
914 N EUCLID AVE, BAY CITY, MI 48706-2467
(989) 778-1055
(844) 239-2996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720124308
—
MI
05
—
1932654415
—
MI
Enumeration date
07/03/2024
Last updated
12/09/2025
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