Healthcare Provider Details

I. General information

NPI: 1780516856
Provider Name (Legal Business Name): RICHMOND MENTAL HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8745 W HIGGINS RD STE 110
CHICAGO IL
60631-2753
US

IV. Provider business mailing address

8745 W HIGGINS RD STE 110
CHICAGO IL
60631-2753
US

V. Phone/Fax

Practice location:
  • Phone: 832-471-8591
  • Fax: 832-321-2862
Mailing address:
  • Phone: 832-471-8591
  • Fax: 832-321-2862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE ISOKPUNWU
Title or Position: OWNER
Credential: APRN
Phone: 832-471-8591