Healthcare Provider Details

I. General information

NPI: 1760307086
Provider Name (Legal Business Name): MARI PIERCE CPSS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12285 DIXIE STE 100
REDFORD MI
48239-2491
US

IV. Provider business mailing address

9402 SANDLEWOOD DR
WHITMORE LAKE MI
48189-8204
US

V. Phone/Fax

Practice location:
  • Phone: 313-543-3393
  • Fax: 313-543-3395
Mailing address:
  • Phone: 734-751-8132
  • Fax: 313-543-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: