FLOURISH AUTHENTICALLY LLC NPI 1588411060

NPI Details

FLOURISH AUTHENTICALLY LLC is a clinical social worker in Portland, OR. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FLOURISH AUTHENTICALLY LLC NPI is 1588411060. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

833 SE MAIN ST # 213
PORTLAND, OR
ZIP 97214-454
Phone: (510) 626-0215

The provider's authorized official is Lily S Krutel .
The authorized official title is Owner And Psychotherapist and has the following contact phone number (510) 626-0215.

The enumeration date for this NPI number is 5/2/2024 and was last updated on 10/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: