Life Elevated Psychiatry Llc

LBN: Life Elevated Psychiatry Llc
Life Elevated Psychiatry Llc is an health care organization with primary practice located at 11620 S State St Ste 1403 , Draper UT 84020-7124. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Life Elevated Psychiatry Llc can be contacted via phone (385) 302-7369, or through Haskell, Brock via phone (385) 302-7369.

Contact Information

Primary practice address
11620 S State St Ste 1403 Draper UT 84020-7124
Phone: (385) 302-7369
Fax: (385) 247-8023
Website:
Map and Directions
Authorized official contact:
Name: Haskell, Brock Physician's Assistant Certified (PA-C)
Phone: (385) 302-7369

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1063199305
LBN Legal business name Life Elevated Psychiatry Llc
DBA Doing business as
Authorized official Haskell, Brock Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2023
Last updated Jun 29th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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