SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC (Credential# 1382428) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is September 27, 2016. The license expiration date date is June 30, 2020. The license status is ACTIVE IN RENEWAL.
SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000628. The credential type is psychiatric outpatient clinic. The effective date is September 27, 2016. The expiration date is June 30, 2020. The business address is 415 Main St, West Haven, CT 06516-4296. The current status is active in renewal.
| Licensee Name | SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC |
| Business Name | SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC |
| Doing Business As | SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC |
| Credential ID | 1382428 |
| Credential Number | POCA.0000628 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
415 Main St West Haven CT 06516-4296 |
| Business Type | BUSINESS |
| Status | ACTIVE IN RENEWAL - CURRENT |
| Active | 1 |
| Issue Date | 2016-10-04 |
| Effective Date | 2016-09-27 |
| Expiration Date | 2020-06-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1382423 | SA.0000519 | Substance Abuse | 2016-10-04 | 2018-07-01 - 2020-06-30 | ACTIVE IN RENEWAL |
| Business ID | 1153371 |
| Business Name | SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC |
| Business Address | 415 MAIN STREET, WEST HAVEN, CT 06516 |
| Mailing Address | 415 MAIN STREET, WEST HAVEN, CT 06516 |
| Registration Date | 2014-08-29 |
| State Citizenship | Domestic / CT |
| Business Status | Active |
| Agent Name | CARA POWERS |
| Agent Business Address | 415 MAIN STREET, WEST HAVEN, CT 06516 |
| Street Address | 415 MAIN ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4296 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher Inclima Od | 415 Main St, West Haven, CT 06516 | Optometrist | 2020-08-01 ~ 2021-07-31 |
| Alphonse A Inclima Od | 415 Main St, West Haven, CT 06516 | Optometrist | 2020-07-01 ~ 2021-06-30 |
| Anthony R Rocco Md | 415 Main St, West Haven, CT 06516 | Physician/surgeon | 1996-04-08 ~ 1997-03-31 |
| Shoreline Social Opportunity Solutions, Inc. | 415 Main St, West Haven, CT 06516-4296 | Public Charity-exempt From Financial Requirements | 2013-06-10 ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nancy Cabrera Salinas | 649 Third Ave., West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-07-31 |
| Lauralee L Gaglio | 27 Peppermill Drive, West Haven, CT 06516 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Evelyn Ruiz Conant | 309 Terrace Ave, Unit 42, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Junqin Wang | 15 Central Ave West Haven, West Haven, CT 06516 | Nail Technician | ~ |
| Mehmet Sofuoglu Md | Va Conn Healthcare System, West Haven, CT 06516 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica M Skakacz | 19 Cowpen Rd, West Haven, CT 06516 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Lourdes Maribel Guzman | 26 York Street, West Haven, CT 06516 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Mcdonald's · Tay Mac Dba | 1129 Campbell Ave, West Haven, CT 06516 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Dyaija Soriano | 29 Ridge Court East, West Haven, CT 06516 | Esthetician | 2020-06-26 ~ 2022-05-31 |
| Katherine M Grable | 13 Perry Merrill Drive, West Haven, CT 06516 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06516 | |||
| City | WEST HAVEN |
| Zip Code | 06516 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + WEST HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pinnacle Behavioral Health | 345 North Main Street, West Hartford, CT 06117 | Psychiatric Outpatient Clinic | 2019-08-26 ~ 2023-06-30 |
| New Hope Manor Behavioral Health & Substance Abuse Clinic | 935 Main St Ste 303, Manchester, CT 06040-6050 | Psychiatric Outpatient Clinic | 2010-10-25 ~ 2014-09-30 |
| Integrated Behavioral Health Inc. · Integrated Behavioral Health, Inc. | 1616 Route 12, Gales Ferry, CT 06335 | Psychiatric Outpatient Clinic | 2000-07-21 ~ 2003-03-31 |
| Clearpoint Behavioral Health | 162 Kings Hwy N, Westport, CT 06880-2444 | Psychiatric Outpatient Clinic | 2016-11-17 ~ 2020-09-30 |
| Behavioral Health Center | 13 Water St, Danielson, CT 06239-2838 | Psychiatric Outpatient Clinic | 2018-10-01 ~ 2022-09-30 |
| Wellmore Behavioral Health | 30 Controls Dr, Shelton, CT 06484-6157 | Psychiatric Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Wellmore Behavioral Health | 402 E Main St, Waterbury, CT 06702-1701 | Psychiatric Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Behavioral Health Center | 54 North St, Willimantic, CT 06226-2528 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Blue Sky Behavioral Clinic | 52 Federal Rd, Danbury, CT 06810-6162 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Stonington Behavioral Health Inc. · Stonington Institute | 37 Commerce Avenue, Danielson, CT 06239 | Psychiatric Outpatient Clinic | 2006-12-19 ~ 2010-09-30 |
Please comment or provide details below to improve the information on SHORELINE WELLNESS BEHAVIORAL HEALTH CLINIC, LLC.
| 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).