Healthcare Provider Details

I. General information

NPI: 1457283111
Provider Name (Legal Business Name): REILLY MCKENNA OLUANAIGH LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 SHERMAN AVE
NEW HAVEN CT
06511-5238
US

IV. Provider business mailing address

12 WILSON RD
LITCHFIELD CT
06759-2619
US

V. Phone/Fax

Practice location:
  • Phone: 203-833-4505
  • Fax:
Mailing address:
  • Phone: 203-833-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: