# THE CREATIVE THERAPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609196898
- **Authorized official:** DR. NICOLE RENEE-HAUSER BAKER PHD, LMFT, RPT (CLINIC DIRECTOR)
- **Authorized official phone:** (763) 274-0510

## Contact information

- **Practice address:** 815 HIGHWAY 10 STE 102, ELK RIVER, MN 55330-5204
- **Practice address phone:** (763) 274-0510
- **Mailing address:** 657 MAIN ST NW STE 214, ELK RIVER, MN 55330-1584
- **Mailing address phone:** (763) 274-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 12/12/2024