OrganizationActive
Creative Wellness, LLC
NPI 1609307776 · Clinic/Center · Saint Louis, MO
Provider details
- NPI number
- 1609307776
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Harasha, Owner(314) 961-8940
- License
- 2000165042 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2558 S Brentwood Blvd
Saint Louis, MO 63144-2309
Phone: (314) 961-8940
Fax: (314) 961-8969
Street-level locationGet directions
Mailing address
2558 S Brentwood Blvd
Saint Louis, MO 63144-2309
Other names (DBA / former)
- Doing business as
- Advanced Laser Therapy and Wellness
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.