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

Life Elevated Family Medicine & Counseling LLC

Organization Multi-Specialty Clinic/Center · NPI 1366114944

Life Elevated Family Medicine & Counseling LLC is a Multi-Specialty Clinic/Center in Salt Lake City, Utah. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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

3686 W 2100 S
Salt Lake City, UT 84120-8412
Phone: (435) 830-0554
Fax: (385) 247-8023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5667 S Redwood Rd Unit 6, Taylorsville, UT 84123-5433 — (435) 830-0554

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1366114944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brock Haskell — Pa/Owner · (435) 830-0554
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateSeptember 15, 2021
Mailing address2561 S 1560 W Ste B, Woods Cross, UT 84087-2361

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