| Productive Lives Mental Health | |
|
110 Painters Mill Rd Ste 310 Owings Mills MD 21117-5248 | |
| (443) 657-7952 | |
| (443) 657-7139 |
| Full Name | Productive Lives Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 110 Painters Mill Rd Ste 310, Owings Mills, Maryland |
| Authorized Official Name and Position | Towanna Monique Miller-johnson (OWNER) |
| Authorized Official Contact | 4434151937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Productive Lives Mental Health 110 Painters Mill Rd Ste 310 Owings Mills MD 21117-5248 Ph: (443) 657-7952 | Productive Lives Mental Health 110 Painters Mill Rd Ste 310 Owings Mills MD 21117-5248 Ph: (443) 657-7952 |
| NPI Number | 1104493337 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104493337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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