Healthcare Provider Details

I. General information

NPI: 1851222004
Provider Name (Legal Business Name): RESILIENCE GARDEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9666 OLIVE BLVD
SAINT LOUIS MO
63132-3013
US

IV. Provider business mailing address

90 FORESTWOOD DR
SAINT LOUIS MO
63135-2825
US

V. Phone/Fax

Practice location:
  • Phone: 314-881-9492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELAINE ANDELL
Title or Position: OWNER
Credential:
Phone: 314-881-9492