Healthcare Provider Details

I. General information

NPI: 1114295029
Provider Name (Legal Business Name): JUSTIN OYLER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 BLUE RIDGE RD STE 225
RALEIGH NC
27607-6459
US

IV. Provider business mailing address

2605 BLUE RIDGE RD STE 225
RALEIGH NC
27607-6459
US

V. Phone/Fax

Practice location:
  • Phone: 984-222-8000
  • Fax:
Mailing address:
  • Phone: 984-222-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number101011
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC016004
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: