Healthcare Provider Details

I. General information

NPI: 1740195189
Provider Name (Legal Business Name): OASIS WITHIN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 S MAIN ST FRNT D
KENT CT
06757-1444
US

IV. Provider business mailing address

24 S MAIN ST FRNT D
KENT CT
06757-1444
US

V. Phone/Fax

Practice location:
  • Phone: 860-499-0051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNA N. GLEASON
Title or Position: OWNER
Credential: LPC
Phone: 860-499-0051