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NPI Code Detail

MEDICARE: EUNIQUE PATHWAYS PLLC

MEDICARE: EUNIQUE PATHWAYS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1902738289
Entity Type Code : Organization
Provider Name (Legal Business Name) : EUNIQUE PATHWAYS PLLC
Provider Business Mailing Address
First Line : 5571 AUTUMN RIDGE RD APT 301
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2782
Country : US
Telephone Number : 360-207-6043
Fax Number : 863-583-8524
Provider Business Practice Location Address
First Line : 5571 AUTUMN RIDGE RD APT 301
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2782
Country : US
Telephone Number : 360-207-6043
Fax Number : 863-583-8524
Authorized Official
Title or Position : LCSW
Name : PORTIA EUNIQUE SEALS
Credential : LCSW, LMSW, LISW
Telephone Number : 360-207-6043
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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