COMMUNITY HEALTH CENTER OF STAMFORD AT FIFTH STREET (Credential# 1619449) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is December 5, 2018. The license expiration date date is September 30, 2021. The license status is ACTIVE.
COMMUNITY HEALTH CENTER OF STAMFORD AT FIFTH STREET is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000960. The credential type is outpatient clinic. The effective date is December 5, 2018. The expiration date is September 30, 2021. The business address is 22 Fifth Street, Stamford, CT 06905. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER OF STAMFORD AT FIFTH STREET |
| Business Name | COMMUNITY HEALTH CENTER OF STAMFORD AT FIFTH STREET |
| Doing Business As | COMMUNITY HEALTH CENTER OF STAMFORD AT FIFTH STREET |
| Credential ID | 1619449 |
| Credential Number | OPC.0000960 |
| Credential Type | Outpatient Clinic |
| Business Address |
22 Fifth Street Stamford CT 06905 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-10 |
| Effective Date | 2018-12-05 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2018-12-10 |
| 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 |
| Street Address | 22 FIFTH STREET |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tichianaa Armah Md | 22 Fifth Street, Stamford, CT 06905 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Justin O Schechter | 22 Fifth Street, Stamford, CT 06905 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Robert J Miller | 22 Fifth Street, Stamford, CT 06905 | Dentist | 1996-01-31 ~ 1997-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wanjun Xiao | 603, Stamford, CT 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Karina E Lidums | 90 Ken Court, Stamford, CT 06905 | Real Estate Salesperson | 2020-06-26 ~ 2021-05-31 |
| Julie E Geiser Aprn | 94 Hirsch Rd, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jason R Teitelbaum | 66 Dann Drive, Stamford, CT 06905 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Iliana Nikolova | 106 Oaklawn Ave, Stamford, CT 06905 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Grade A Market | 563 New Field Ave, Stamford, CT 06905 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Valerie Ann Legrone | 146 Cold Spring Road Unit 12, Stamford, CT 06905 | Advanced Practice Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Liang Shan | 142-37 38 Ave, Flushing, NY 06905 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Peter C Hart | 160 Bridge St, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Anthony Masciarelli | 31 Bradley Place, Stamford, CT 06905 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06905 | |||
| City | STAMFORD |
| Zip Code | 06905 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + STAMFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stamford Community Health Center | 805 Atlantic St, Stamford, CT 06902-6805 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 245 Selleck Street, Stamford, CT 06902 | Outpatient Clinic | 2000-10-17 ~ 2002-09-30 |
| Community Health Center Inc. · Dental Center of Stamford, Inc. | 587 Elm Street, Stamford, CT 06902 | Outpatient Clinic | 2005-11-21 ~ 2009-09-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Stamford Community Health Center, Inc. | 805 Atlantic St, Stamford, CT 06902-6805 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 635 Main Street, Middletown, CT 06457 | Outpatient Clinic | 2002-01-01 ~ 2003-12-31 |
| Day Street Community Health Center | 49 Day St, Norwalk, CT 06854-4901 | Psychiatric Outpatient Clinic | 2018-07-01 ~ 2022-06-30 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 90 Fairfield Ave, Stamford, CT 06902-5021 | Outpatient Clinic | 2001-03-23 ~ 2002-12-31 |
| Community Health Center Inc. · Community Health Center of Bristol | 59 North Main Street, Bristol, CT 06010 | Outpatient Clinic | 2009-12-15 ~ 2013-09-30 |
| Franklin Street Community Health Center | 141 Franklin St, Stamford, CT 06901-1014 | Outpatient Clinic | 2019-07-01 ~ 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).