Healthcare Provider Details

I. General information

NPI: 1851101034
Provider Name (Legal Business Name): UNCONDITIONAL UNLIMITED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2517 N ROLLING RD
WINDSOR MILL MD
21244-1931
US

IV. Provider business mailing address

2517 N ROLLING RD
WINDSOR MILL MD
21244-1931
US

V. Phone/Fax

Practice location:
  • Phone: 667-755-0959
  • Fax:
Mailing address:
  • Phone: 667-755-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATRINA BROWN
Title or Position: OWNER
Credential:
Phone: 667-755-0959