STAYWELL HEALTH CARE, INC. (Credential# 1511032) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is May 3, 2018. The license expiration date date is June 30, 2022. The license status is ACTIVE.
STAYWELL HEALTH CARE, INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000675. The credential type is psychiatric outpatient clinic. The effective date is May 3, 2018. The expiration date is June 30, 2022. The business address is 402 E Main St, Waterbury, CT 06702-1701. The current status is active.
| Licensee Name | STAYWELL HEALTH CARE, INC. |
| Business Name | STAYWELL HEALTH CARE, INC. |
| Doing Business As | STAYWELL HEALTH CARE, INC. |
| Credential ID | 1511032 |
| Credential Number | POCA.0000675 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
402 E Main St Waterbury CT 06702-1701 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-05-03 |
| Effective Date | 2018-05-03 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1235629 | SA.0000479 | Substance Abuse | 2014-07-23 | 2018-07-01 - 2020-06-30 | ACTIVE IN RENEWAL |
| Business ID | 0270625 |
| Business Name | STAYWELL HEALTH CARE, INC. |
| Business Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702 |
| Mailing Address | 80 PHOENIX AVENUE, SUITE 201, WATERBURY, CT, 06702 |
| Registration Date | 1992-02-13 |
| State Citizenship | Domestic/CT |
| Business Type | Non-Stock |
| Business Status | Active |
| Agent Name | DONALD THOMPSON |
| Agent Business Address | 232 NORTH ELM STREET, WATERBURY, CT, 06702 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Staywell Health Care, Inc. | 1309 S Main St, Waterbury, CT 06706-1758 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Staywell Health Care, Inc. | 30 Church St, Naugatuck, CT 06770-4112 | Substance Abuse | 2018-07-01 ~ 2020-06-30 |
| Staywell Health Care, Inc. | 80 Phoenix Ave Ste 104, Waterbury, CT 06702-1418 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Street Address | 402 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erica R Texeira | 402 E Main St, Waterbury, CT 06702-1701 | Marital and Family Therapist | 2019-11-01 ~ 2020-10-31 |
| Wellmore Behavioral Health | 402 E Main St, Waterbury, CT 06702-1701 | Psychiatric Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Morris Foundation Inc | 402 E Main St, Waterbury, CT 06702-1701 | Public Charity | 2011-12-01 ~ 2013-05-31 |
| Conversion Data · Waterbury Department of Public Health | 402 E Main St, Waterbury, CT 06702 | Outpatient Clinic | ~ 1998-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elissa Lopez | 148 Grand St., Waterbury, CT 06702 | Medication Administration Certification | ~ |
| Gray-robinson · 7-eleven 27640l | 355 W. Main Street, Waterbury, CT 06702 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | ~ |
| Genessis Drywall LLC | 19 21 Summer St, Waterbury, CT 06702 | Home Improvement Contractor | 2020-06-11 ~ 2020-11-30 |
| Shawna M Walker | 119 Cherry Street, Waterbury, CT 06702 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Eden Antenor | 70 Bank St., Waterbury, CT 06702 | Medication Administration Certification | 2020-03-02 ~ 2022-03-01 |
| Carlos Jimenez-evangelista | 18 Walnut St., Waterbury, CT 06702 | Medication Administration Certification | 2020-06-23 ~ 2022-06-22 |
| Forrest S Scott | 236 Grand St., Waterbury, CT 06702 | Emergency Medical Technician | 2017-03-09 ~ 2020-03-31 |
| Jhonny R Tapia | 299 East Main St, Watertbury, CT 06702 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| San Marino Restaurant | 111-23 Thomaston Ave, Waterbury, CT 06702 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Amis Hot Bagels LLC | 111 Thomaston Ave, Waterbury, CT 06702 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06702 | |||
| City | WATERBURY |
| Zip Code | 06702 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + WATERBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Staywell Health Care Inc. · Staywell Health Care, Inc. | 232 North Elm Street, Waterbury, CT 06706 | Psychiatric Outpatient Clinic | 2002-02-15 ~ 2003-12-31 |
| Staywell Health Care Inc. · Staywell Health Care, Inc.-south End Health Center | 1302 South Main Street, Waterbury, CT 06706 | Psychiatric Outpatient Clinic | 2009-07-01 ~ 2013-06-30 |
| Staywell Health Care Inc. · Staywell Health Center | 232 North Elm Street, Waterbury, CT 06702 | Outpatient Clinic | 2005-04-01 ~ 2009-03-31 |
| Staywell Health Care Inc. · Staywell Health Center H.c.h.-3 | 95 Thomaston Ave, Waterbury, CT 06702-1007 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Staywell Health Care Inc. · Staywell Health Center | 80 Phoenix Ave, Waterbury, CT 06702-1418 | Outpatient Clinic | 2018-01-01 ~ 2020-12-31 |
| Staywell Health Care Inc. · Staywell Health Care for The Homeless I | 114 Benedict St, Waterbury, CT 06706-1007 | Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Staywell Health Center, Inc. | 402 East Main Strteet, Waterbury, CT 06702 | Outpatient Clinic | 2019-01-14 ~ 2021-12-31 |
| Staywell Health Center | 1302 S Main St, Waterbury, CT 06706-1748 | Outpatient Clinic | 2018-07-01 ~ 2021-06-30 |
| Staywell Health Center | 30 Church Street, Naugatuck, CT 06770 | Outpatient Clinic | 2016-08-18 ~ 2020-06-30 |
| Staywell Health Center | 95 Scovill St, Waterbury, CT 06706-1113 | Outpatient Clinic | 2015-02-06 ~ 2019-03-31 |
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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).