Alliance Wellness Solutions LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Towson, MD
NPI 1104604099 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1104604099
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- ALLIANCE WELLNESS SOLUTIONS LLC
- Practice address
- 920 Providence Rd Ste 101
Towson, MD 21286-2979 - Phone
- (667) 400-3679
- Fax
- (667) 400-3626
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. Phillip Kendall, LCSW-C
- Title
- Chief Executive Officer
- Phone
- (410) 275-8181
Practitioners 8
-
Kwesi O Codrington, PMHNP
-
Jennifer Anne Lisa, PMHNP-BC
-
Sydney Hinnant, LGPC
-
Tameka L Payton, PHD, LGPC
-
Diana Turner, MS, ATR-BC, LCPAT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240902000255 | MD | Part B Supplier - Clinic/Group Practice | 8628517893 |
Receives reassigned benefits from 3 practitioners Practice locations: Towson, MD |
National Provider Directory
Locations
920 Providence Rd
Ste 101
Towson, MD 21286
Phone (667) 400-3679
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
920 Providence Rd Ste 101
Towson, MD 21286-2979
Mailing address
920 Providence Rd Ste 101
Towson, MD 21286-2979
Phone (667) 400-3679
Other names
- Alliance Wellness Solutions
Other providers in Towson, MD
- Allen E. Silver MD PA
- Alexis Allen
- Kristen Gayle Allen
- Thomas E. Allen
- Patricia Marie Allender
- Lauren Allie-Garner
- Jennifer Ross Alman
- Ravi Kumar Aloor
- Tahani Abdu Alqassem
- Heidi Alsaleh
All providers in Towson, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.