Organization
PRODUCTIVE LIVES MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOWANNA MONIQUE MILLER-JOHNSON (CHIEF EXECUTIVE OFFICER)
(443) 415-1937
Entity
Organization
Contact information
Practice address
110 PAINTERS MILL RD STE 310, OWINGS MILLS, MD 21117-5248
(443) 657-7952
Mailing address
110 PAINTERS MILL RD STE 310, OWINGS MILLS, MD 21117-5248
(443) 657-7952
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2017
Last updated
10/31/2023
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