# ALLWELL BEHAVIORAL & WELLNESS CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114869021
- **Authorized official:** CHARITY ALLWELL PMHNP (OWNER)
- **Authorized official phone:** (315) 547-0502

## Contact information

- **Practice address:** 7365 CEDAR AVE, JESSUP, MD 20794-9456
- **Practice address phone:** (315) 547-0502
- **Practice address fax:** (727) 382-0311
- **Mailing address:** 7365 CEDAR AVE, JESSUP, MD 20794-9456
- **Mailing address phone:** (315) 547-0502
- **Mailing address fax:** (727) 382-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2026
- **Last updated:** 04/10/2026