| NPI | 1164103594 |
|---|---|
| Doing Business As | LIFEOAK MENTAL HEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | RUNAKO RICHARDSON Owner 214-693-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |