| Productive Lives Mental Health Services | |
|
25 Dunvale Rd Apt 543 Towson MD 21204-2741 | |
| (443) 415-1937 | |
| Not Available |
| Full Name | Productive Lives Mental Health Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 25 Dunvale Rd Apt 543, Towson, 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 Services 25 Dunvale Rd Apt 543 Towson MD 21204-2741 Ph: (443) 415-1937 | Productive Lives Mental Health Services 25 Dunvale Rd Apt 543 Towson MD 21204-2741 Ph: (443) 415-1937 |
| NPI Number | 1912221862 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912221862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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