NPIMap

Organization Active NPI

Productive Lives Mental Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1801463039
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PRODUCTIVE LIVES MENTAL HEALTH
Practice address
110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248
Phone
(443) 657-7952
Fax
(443) 657-7139
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Towanna Monique Miller-Johnson
Title
Owner
Phone
(443) 415-1937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248

Mailing address

110 Painters Mill Rd Ste 310
Owings Mills, MD 21117-5248
Phone (443) 657-7952

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1801463039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 310",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175248",
            "telephone_number": "443-657-7952",
            "fax_number": "443-657-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD STE 310",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175248",
            "telephone_number": "443-657-7952",
            "fax_number": "443-657-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTIVE LIVES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER-JOHNSON",
        "authorized_official_first_name": "TOWANNA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-415-1937"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.