# PRODUCTIVE LIVES MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912221862
- **Authorized official:** MRS. TOWANNA MONIQUE MILLER JOHNSON M.E.D. (OWNER)
- **Authorized official phone:** (443) 415-1937

## Contact information

- **Practice address:** 25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
- **Practice address phone:** (443) 415-1937
- **Mailing address:** 25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
- **Mailing address phone:** (443) 415-1937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 10/31/2023