Organization
PRODUCTIVE LIVES MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOWANNA MONIQUE MILLER JOHNSON M.E.D. (OWNER)
(443) 415-1937
Entity
Organization
Contact information
Practice address
25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
(443) 415-1937
Mailing address
25 DUNVALE RD APT 543, TOWSON, MD 21204-2741
(443) 415-1937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
10/31/2023
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