Healthcare Provider Details

I. General information

NPI: 1073443669
Provider Name (Legal Business Name): UNITY HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 SCOTCH PINE DR
BOWIE MD
20721-2789
US

IV. Provider business mailing address

1613 SCOTCH PINE DR
BOWIE MD
20721-2789
US

V. Phone/Fax

Practice location:
  • Phone: 202-200-5492
  • Fax:
Mailing address:
  • Phone: 202-200-5492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FATOUMATA BA
Title or Position: FNP, PMHNP
Credential: NP
Phone: 202-200-5492