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

Life Elevated Psychiatry LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1063199305

Life Elevated Psychiatry LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Draper, Utah. Registered with an NPI since 2023.

In the registry since
2023
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

11620 S State St Ste 1403
Draper, UT 84020-7124
Phone: (385) 302-7369
Fax: (385) 247-8023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1063199305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brock Haskell — Owner · (385) 302-7369
NPI enumeratedJune 29, 2023
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023
Mailing address11620 S State St Ste 1403, Draper, UT 84020-7124

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