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Organization
OASIS THERAPEUTIC SERVICES PLLC
Active
Organization
OASIS THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAZHEDATEQUILA EUNICETAGE SANFORD LCSW LCAS, CSI (OWNER)
(704) 689-1577
Entity
Organization
Contact information
Practice address
3481 BEAR DEN DR, GASTONIA, NC 28052-0009
(704) 689-1577
(980) 422-0383
Mailing address
3481 BEAR DEN DR, GASTONIA, NC 28052-0009
(704) 689-1577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
02/04/2026
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