Healthcare Provider Details

I. General information

NPI: 1780533638
Provider Name (Legal Business Name): ALLY HEALTH NURSING AND MEDICAL SERVICES INCORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 CENTRAL AVE STE 308
LANDOVER MD
20785-4853
US

IV. Provider business mailing address

15202 EMILY CT
BOWIE MD
20716-3200
US

V. Phone/Fax

Practice location:
  • Phone: 301-825-4059
  • Fax: 240-879-9958
Mailing address:
  • Phone: 301-825-4059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0810X
TaxonomyChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. CHRISTOPHER T TITUS
Title or Position: CEO
Credential: MS, MBA
Phone: 301-825-4059