Provider Demographics
NPI:1669256855
Name:MILLER-JOHNSON, TOWANNA MONIQUE
Entity type:Individual
Prefix:
First Name:TOWANNA
Middle Name:MONIQUE
Last Name:MILLER-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PAINTERS MILL RD STE 310
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5248
Mailing Address - Country:US
Mailing Address - Phone:443-415-1937
Mailing Address - Fax:
Practice Address - Street 1:110 PAINTERS MILL RD STE 310
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5248
Practice Address - Country:US
Practice Address - Phone:443-657-7959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty