Organization
PRODUCTIVE LIVES MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOWANNA MONIQUE MILLER-JOHNSON (OWNER)
(443) 415-1937
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 310, OWINGS MILLS, MD 21117-5248
(443) 657-7952
(443) 657-7139
Mailing address
110 PAINTERS MILL RD STE 310, OWINGS MILLS, MD 21117-5248
(443) 657-7952
(443) 657-7139
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
10/31/2023
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