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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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