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Organization
LIFEOAK MENTAL HEALTH PLLC
Active
Organization
LIFEOAK MENTAL HEALTH PLLC
Active
Other names
Lifeoak Mental Health PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RUNAKO RICHARDSON NP (OWNER)
(214) 693-5746
Entity
Organization
Contact information
Practice address
3707 E SOUTHERN AVE STE 1018, MESA, AZ 85206-6201
(602) 878-7702
(602) 878-7702
Mailing address
3707 E SOUTHERN AVE STE 1018, MESA, AZ 85206-6201
(602) 878-7702
(602) 878-7702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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