Healthcare Provider Details

I. General information

NPI: 1952228223
Provider Name (Legal Business Name): PALE BLUE DOT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 PEARSON ST APT 1
FERNDALE MI
48220-2892
US

IV. Provider business mailing address

34705 W 12 MILE RD STE 160
FARMINGTON HILLS MI
48331-3282
US

V. Phone/Fax

Practice location:
  • Phone: 248-697-2597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SARA PIERCE
Title or Position: OWNER/THERAPIST
Credential: LLP
Phone: 248-622-1016