Healthcare Provider Details

I. General information

NPI: 1558277350
Provider Name (Legal Business Name): EMPOWERMAX HEALTH AND BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 POOLE RD STE C
WESTMINSTER MD
21157-7379
US

IV. Provider business mailing address

319 LANTANA DR
OWINGS MILLS MD
21117-1336
US

V. Phone/Fax

Practice location:
  • Phone: 443-939-5987
  • Fax:
Mailing address:
  • Phone: 443-939-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MAXWELL C ALLEN
Title or Position: CEO
Credential: CRNP-PMH
Phone: 443-939-5987