KINSELLA TREATMENT CENTER (Credential# 1654331) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2019. The license expiration date date is March 31, 2023. The license status is APPROVED.
KINSELLA TREATMENT CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000713. The credential type is psychiatric outpatient clinic. The effective date is May 6, 2019. The expiration date is March 31, 2023. The business address is 1862 Commerce Dr, Bridgeport, CT 06605-2230. The current status is approved.
| Licensee Name | KINSELLA TREATMENT CENTER |
| Business Name | KINSELLA TREATMENT CENTER |
| Doing Business As | KINSELLA TREATMENT CENTER |
| Credential ID | 1654331 |
| Credential Number | POCA.0000713 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
1862 Commerce Dr Bridgeport CT 06605-2230 |
| Business Type | BUSINESS |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2019-05-06 |
| Effective Date | 2019-05-06 |
| Expiration Date | 2023-03-31 |
| Refresh Date | 2019-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1301300 | SA.0000492 | Substance Abuse | 2015-07-23 | 2019-07-01 - 2021-06-30 | ACTIVE |
| 930575 | SA.0000237 | Substance Abuse | 2009-01-01 | 2015-01-01 - 2016-12-31 | CLOSED |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kinsella Treatment Center | 1862 Commerce Drive, Bridgeport, CT 06605 | Outpatient Clinic | 2019-02-13 ~ 2021-12-31 |
| Street Address | 1862 COMMERCE DR |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2230 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melissa Medina | 102 Clinton Ave., Bridgeport, CT 06605 | Medication Administration Certification | ~ |
| Maria Etelvina Lema | 20 Orland St, Bridgeport, CT 06605 | Nail Technician | ~ |
| Michelle Maldonado M�ndez | 182 Monroe St, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Latavia Henderson | 178 Lewis Street, Bridgeport, CT 06605 | Medication Administration Certification | 2020-06-08 ~ 2022-06-07 |
| Onedu Nnenna Benson | 285 Laurel Avenue, Bridgeport, CT 06605 | Licensed Practical Nurse | ~ |
| Gregory A Korth | 137 Fayerweather Ter, Bridgeport, CT 06605 | Architect | 2020-08-01 ~ 2021-07-31 |
| Kim Anh Ho | 108 Wood Avenue, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Maria-elena Melchor Mora | 653 Colorado Ave, Bridgeport, CT 06605 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Jennifer Nelson | 148 St Stephens Road, Bridgeport, CT 06605 | Esthetician | ~ |
| Santa Fuel Inc | 133 Admiral St, Bridgeport, CT 06605 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06605 | |||
| City | BRIDGEPORT |
| Zip Code | 06605 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Farrell Treatment Center | 586 Main St, New Britain, CT 06051-1812 | Psychiatric Outpatient Clinic | 2019-06-21 ~ 2023-03-31 |
| Farrell Treatment Center | 19 Bassett St, New Britain, CT 06051 | Psychiatric Outpatient Clinic | 2019-06-21 ~ 2023-03-31 |
| Guillermo Katigbak · Kinsella Treatment Center | 2 Research Dr, Stratford, CT 06615-7126 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
| Kinsella Early Learning Center | 65 Van Block Avenue, Hartford, CT 06106 | Child Care Center | 2006-11-24 ~ |
| Kinsella Elementary School Dental Clinic | 65 Van Block Ave, Hartford, CT 06106-2826 | Outpatient Clinic | 2019-10-01 ~ 2022-09-30 |
| Conversion Data · Summer Street Treatment Center | 35 Summer St, Portland, CT 06840 | Psychiatric Outpatient Clinic | ~ 1991-03-31 |
| Ymca @ Kinsella | 65 Van Block Ave, Hartford, CT 06106-2826 | Child Care Center | 2019-03-05 ~ 2023-03-31 |
| Outpatient Counseling Center | 255 Main Street, Hartford, CT 06106 | Psychiatric Outpatient Clinic | 2009-01-01 ~ 2012-12-31 |
| Gateway Community Treatment Program. · Gateway Community Treatment Program | 86 Middlesex Ave, Chester, CT 06412-1224 | Psychiatric Outpatient Clinic | 2018-01-01 ~ 2021-12-31 |
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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).