STAMFORD COMMUNITY HEALTH CENTER (Credential# 1319494) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2023. The license status is APPROVED.
STAMFORD COMMUNITY HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000596. The credential type is psychiatric outpatient clinic. The effective date is October 1, 2019. The expiration date is September 30, 2023. The business address is 805 Atlantic St, Stamford, CT 06902-6805. The current status is approved.
| Licensee Name | STAMFORD COMMUNITY HEALTH CENTER |
| Business Name | STAMFORD COMMUNITY HEALTH CENTER |
| Doing Business As | STAMFORD COMMUNITY HEALTH CENTER |
| Credential ID | 1319494 |
| Credential Number | POCA.0000596 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
805 Atlantic St Stamford CT 06902-6805 |
| Business Type | BUSINESS |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2015-11-03 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2023-09-30 |
| Refresh Date | 2019-09-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Community Health Center | 137 Henry Street, Stamford, CT 06902 | Public Charity | ~ |
| Street Address | 805 ATLANTIC ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-6805 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Community Health Center, Inc. | 805 Atlantic St, Stamford, CT 06902-6805 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Jessica K Rosenberg | 805 Atlantic St, Stamford, CT 06902-6805 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | STAMFORD |
| Zip Code | 06902 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center of Stamford At Fifth Street | 22 5th St, Stamford, CT 06905-5030 | Psychiatric Outpatient Clinic | 2018-12-07 ~ 2022-09-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 245 Selleck Street, Stamford, CT 06902 | Outpatient Clinic | 2000-10-17 ~ 2002-09-30 |
| Stamford Community Health Center, Inc. | 805 Atlantic St, Stamford, CT 06902-6805 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Community Health Center Inc. · Dental Center of Stamford, Inc. | 587 Elm Street, Stamford, CT 06902 | Outpatient Clinic | 2005-11-21 ~ 2009-09-30 |
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 90 Fairfield Ave, Stamford, CT 06902-5021 | Outpatient Clinic | 2001-03-23 ~ 2002-12-31 |
| Day Street Community Health Center | 49 Day St, Norwalk, CT 06854-4901 | Psychiatric Outpatient Clinic | 2018-07-01 ~ 2022-06-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).