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Organization
OASIS CLINICAL CARE MANAGEMENT & CONSULTATION PLLC
Active
Organization
OASIS CLINICAL CARE MANAGEMENT & CONSULTATION PLLC
Active
Other names
Oasis Clinical Care Management
Organization subpart
No
Provider details
NPI number
Authorized official
THEODUS ROACH (OWNER)
(980) 328-3490
Entity
Organization
Contact information
Practice address
210 POSTAGE WAY #1772, INDIAN TRAIL, NC 28079-9701
(980) 338-5563
(704) 228-0268
Mailing address
1006 SEBASTIAN CT, INDIAN TRAIL, NC 28079-3688
(980) 328-3490
(800) 853-9535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005982
—
NC
Enumeration date
04/03/2007
Last updated
04/10/2026
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