Healthcare Provider Details

I. General information

NPI: 1447114020
Provider Name (Legal Business Name): RESOURCED AND RESILIENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 4TH ST
WHITE BEAR LAKE MN
55110-3013
US

IV. Provider business mailing address

2180 4TH ST
WHITE BEAR LAKE MN
55110-3013
US

V. Phone/Fax

Practice location:
  • Phone: 715-220-2565
  • Fax: 651-342-7972
Mailing address:
  • Phone: 715-220-2565
  • Fax: 651-342-7972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE SUMMER KALLIMAN
Title or Position: OWNER
Credential: MA, LMFT
Phone: 715-220-2565