Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Flourish Authentically LLC

Organization Clinical Social Worker · NPI 1588411060

Flourish Authentically LLC is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

833 SE Main St # 213
Portland, OR 97214-3454
Phone: (510) 626-0215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1588411060
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lily Krutel — Owner And Psychotherapist · (510) 626-0215
NPI enumeratedMay 2, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address833 Se Main St., Box 302, Portland, OR 97214

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