# LIFEOAK MENTAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifeoak Mental Health PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164103594
- **Authorized official:** RUNAKO RICHARDSON NP (OWNER)
- **Authorized official phone:** (214) 693-5746

## Contact information

- **Practice address:** 3707 E SOUTHERN AVE STE 1018, MESA, AZ 85206-6201
- **Practice address phone:** (602) 878-7702
- **Practice address fax:** (602) 878-7702
- **Mailing address:** 3707 E SOUTHERN AVE STE 1018, MESA, AZ 85206-6201
- **Mailing address phone:** (602) 878-7702
- **Mailing address fax:** (602) 878-7702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 07/27/2023