Creative Wellness, LLC

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1609307776

Practice location

2558 S Brentwood Blvd
Saint Louis, MO 63144-2309
Phone
(314) 961-8940
Fax
(314) 961-8969

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NPI record

NPI
1609307776
Entity type
Organization (Type 2)
Enumeration date
March 21, 2017
Last updated
June 4, 2020
Certified
June 4, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X 2000165042 MO

Authorized official

Name
Dr. Brian Harasha, DC
Title
Owner
Phone
(314) 961-8940

Other names

  • Advanced Laser Therapy and Wellness

About Creative Wellness, LLC

Creative Wellness, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 2558 S Brentwood Blvd, Saint Louis, MO 63144-2309. The NPI number 1609307776 was assigned on March 21, 2017 and the record was last updated on June 4, 2020.

Creative Wellness, LLC lists a license in the registry: #2000165042 (MO) for Clinic/Center. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brian Harasha, DC, Owner.

Frequently asked questions

What is the NPI number of Creative Wellness, LLC?

The NPI number is 1609307776.

What is the phone number of Creative Wellness, LLC?

The phone number listed for the practice location is (314) 961-8940.

Where is Creative Wellness, LLC located?

2558 S Brentwood Blvd, Saint Louis, MO 63144-2309.

What is the taxonomy code for Creative Wellness, LLC?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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