LIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC
NPI 1366114944
Clinic/Center - Multi-Specialty in Salt Lake City, UT

Q: What is Life Elevated Family Medicine & Counseling LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 01, 2021

3686 W. 2100 S., SALT LAKE CITY, UT 84120(435) 830-0554(385) 247-8023 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Life Elevated Family Medicine & Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC (NPI 1366114944) is a healthcare organization registered as a multi-specialty in Salt Lake City, Utah and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Taylorsville and lists Brock Dan Haskell, Pa/owner, as its authorized official.

NPPES Registry Identity

NPI1366114944

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLIFE ELEVATED FAMILY MEDICINE & COUNSELING LLC

Location Address3686 W. 2100 S.Salt Lake City, UT 84120-8412

Mailing Address2561 S 1560 W Ste BWoods Cross, UT 84087-2361 · (801) 505-0821 · Fax (801) 505-0803

Phone(435) 830-0554

Fax(385) 247-8023

Organization SubpartNo

Authorized OfficialBrock Dan HaskellPa/owner · (435) 830-0554

Enumeration DateOctober 1, 2021

NPPES CertifiedSeptember 15, 2021

✔ NPI 1366114944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

3686 W. 2100 S., Salt Lake City, UT 84120

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Secondary Practice Location 1

Location 15667 S Redwood Rd Unit 6Taylorsville, UT 84123-5433 · Phone (435) 830-0554 · Fax (385) 247-8023

Other Identifiers 1

Other118561179-1206UT · License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Elevated Family Medicine & Counseling LLC's NPI number?

The NPI number for Life Elevated Family Medicine & Counseling LLC is 1366114944. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Life Elevated Family Medicine & Counseling LLC located?

Life Elevated Family Medicine & Counseling LLC is located at 3686 W. 2100 S., Salt Lake City, UT 84120. The listed phone number is (435) 830-0554.

What is Life Elevated Family Medicine & Counseling LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Life Elevated Family Medicine & Counseling LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.