COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES (Credential# 1457111) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is September 26, 2017. The license expiration date date is September 30, 2021. The license status is ACTIVE.
COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000895. The credential type is outpatient clinic. The effective date is September 26, 2017. The expiration date is September 30, 2021. The business address is 176 South Broad Street, Pawcatuck, CT 06379. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES |
| Business Name | COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES |
| Doing Business As | COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1457111 |
| Credential Number | OPC.0000895 |
| Credential Type | Outpatient Clinic |
| Business Address |
176 South Broad Street Pawcatuck CT 06379 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-10-19 |
| Effective Date | 2017-09-26 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2017-10-19 |
| Street Address | 176 SOUTH BROAD STREET |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stonington Music Boosters Inc | 176 South Broad Street, Pawcatuck, CT 06379 | Public Charity-exempt From Financial Requirements | ~ |
| Stonington High School Graduation | 176 South Broad Street, Pawcatuck, CT 06379 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinessa Job | 45 Aimee Dr, Pawcatuck, CT 06379 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Rosanne M Giuliano | 25 Davis Avenue, Pawcatuck, CT 06379 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Kathleen Lettich | 15 Canterbury Lane, Stonington, CT 06379 | Behavior Analyst | ~ |
| Deanna L. Boileau-gilman | 37 William Street, Pawcatuck, CT 06379 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Stuart A Lamb | 40 Lester Ave., Pawcatuck, CT 06379 | Optician | 2020-09-01 ~ 2021-08-31 |
| Lisa S Dittman · Boyd | 302 N Anguilla Rd, Pawcatuck, CT 06379 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Naomi Gobeille | 2 North Broad Street, Pawcatuck, CT 06379 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Sherrie L Theroux | 7 Pond View Ct, Pawcatuck, CT 06379 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Robin R Dana | 17 Wilcox Manor, Pawcatuck, CT 06379 | Professional Counselor | 2020-09-01 ~ 2021-08-31 |
| Sharon Marquis | 20 West Enterprise, Pawcatuck, CT 06379 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06379 | |||
| City | PAWCATUCK |
| Zip Code | 06379 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + PAWCATUCK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center The Morgan High School Based Health Services | 71 Killingworth Tpke, Clinton, CT 06413-1359 | Psychiatric Outpatient Clinic | 2018-01-31 ~ 2021-12-31 |
| Community Health Center Burnell High School Based Health Services | 1 Bulldog Boulevard, Stratford, CT 06615 | Outpatient Clinic | 2019-02-27 ~ 2022-03-31 |
| Community Health Center Stafford High School Based Health Services | 145 Orcuttville Road, Stafford Springs, CT 06076 | Outpatient Clinic | 2017-11-08 ~ 2021-12-31 |
| Community Health Center Branford High School Based Health Services | 185 East Main Street, Branford, CT 06405 | Outpatient Clinic | 2017-03-21 ~ 2020-12-31 |
| Community Health Center Portland High School Based Health Services | 95 High Street, Middletown, CT 06457 | Outpatient Clinic | 2017-03-22 ~ 2020-12-31 |
| Community Health Center Nathan Hale-ray High School Based Health Services | 15 School Rd, Moodus, CT 06469-1167 | Psychiatric Outpatient Clinic | 2018-08-28 ~ 2022-06-30 |
| Community Health Center Pawcatuck Middle School Based Health Services | 40 Field Street, North Stonington, CT 06359 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| Community Health Center Portland High School Based Health Services | 95 High St, Portland, CT 06480-1656 | Psychiatric Outpatient Clinic | 2018-01-31 ~ 2021-12-31 |
| Community Health Center Stratford High School Based Health Services | 45 N Parade Street, Stratford, CT 06615 | Outpatient Clinic | 2017-09-06 ~ 2021-09-30 |
| Community Health Center Windsor Lock High School Based Health Services | 58 South Elm Street, Windsor Locks, CT 06096 | Outpatient Clinic | 2017-09-14 ~ 2021-09-30 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER STONINGTON HIGH SCHOOL BASED HEALTH SERVICES.
| 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).