MEDICARE: MS. ELISA STEPHANIE GARLAND PLPC

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
1	101YP2500X	Professional Counselor	2019004839	MO

General Provider Information

NPI Number	:	1922630771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELISA STEPHANIE GARLAND PLPC

Provider Business Mailing Address
First Line	:	JEWISH FAMILY & CHILDREN'S SERVICE
Second Line	:	10950 SCHUETZ ROAD
City	:	ST. LOUIS
State	:	MO
Zip	:	63146
Country	:	US
Telephone Number	:	314-812-9348
Fax Number	:	314-812-9398

Provider Business Practice Location Address
First Line	:	1600 HERITAGE LNDG STE 208A
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63303-8414
Country	:	US
Telephone Number	:	314-252-8299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	03/05/2026

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