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

Creative Wellness, LLC

Organization Clinic/Center · NPI 1609307776

Creative Wellness, LLC is a Clinic/Center in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

2558 S Brentwood Blvd
Saint Louis, MO 63144-2309
Phone: (314) 961-8940
Fax: (314) 961-8969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2000165042 (MO)

Record details

NPI number1609307776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Harasha — Owner · (314) 961-8940
Other names Advanced Laser Therapy And Wellness
NPI enumeratedMarch 21, 2017
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address2558 S Brentwood Blvd, Saint Louis, MO 63144-2309

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