Healthcare Provider Details

I. General information

NPI: 1710807581
Provider Name (Legal Business Name): MARY'S PREMIER CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 EPWORTH ST
DETROIT MI
48204-3574
US

IV. Provider business mailing address

8370 EPWORTH ST
DETROIT MI
48204-3574
US

V. Phone/Fax

Practice location:
  • Phone: 810-444-9972
  • Fax:
Mailing address:
  • Phone: 810-444-9972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMERESHA RICHARDSON
Title or Position: CEO
Credential:
Phone: 810-444-9972