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NPI Code Detail

MEDICARE: PORTIA STEWART

MEDICARE:   PORTIA  STEWART
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
1101YM0800XMental Health CounselorMH20198FL

General Provider Information

NPI Number : 1497355937
Entity Type Code : Individual
Provider Name (Legal Business Name) : PORTIA STEWART
Provider Business Mailing Address
First Line : 3405 17TH ST W
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33971-5280
Country : US
Telephone Number : 239-281-7619
Fax Number :
Provider Business Practice Location Address
First Line : 3405 17TH ST W
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33971-5280
Country : US
Telephone Number : 239-281-7619
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2020
Last Update Date : 01/13/2026

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Directions to “ PORTIA STEWART ” Practice Location

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