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PRODUCTIVE LIVES MENTAL HEALTH NPI 1104493337


NPI Information

NPI: 1104493337
Provider Name: PRODUCTIVE LIVES MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
110 PAINTERS MILL RD STE 310
OWINGS MILLS, MD
ZIP 21117
Phone: (443) 657-7952
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PRODUCTIVE LIVES MENTAL HEALTH is a mental health (including community mental health center) clinic center in Owings Mills, MD. PRODUCTIVE LIVES MENTAL HEALTH NPI is 1104493337. The provider is registered as an organization entity type.

The provider's business location address is:

110 PAINTERS MILL RD STE 310
OWINGS MILLS, MD
ZIP 21117-248
Phone: (443) 657-7952
Fax: (443) 657-7139

The provider's authorized official is Towanna Monique Miller-johnson .
The authorized official title is Owner and has the following contact phone number (443) 415-1937.

The enumeration date for this NPI number is 6/7/2021 and was last updated on 10/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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