SCADD LEBANON PINES (Credential# 929066) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2023. The license status is ACTIVE.
SCADD LEBANON PINES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000439. The credential type is psychiatric outpatient clinic. The effective date is April 1, 2020. The expiration date is March 31, 2023. The business address is 37 Camp Moween Rd, Lebanon, CT 06249-2704. The current status is active.
| Licensee Name | SCADD LEBANON PINES |
| Business Name | SCADD LEBANON PINES |
| Doing Business As | SCADD LEBANON PINES |
| Credential ID | 929066 |
| Credential Number | POCA.0000439 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
37 Camp Moween Rd Lebanon CT 06249-2704 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-06-04 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2023-03-31 |
| Refresh Date | 2020-03-05 |
| Street Address | 37 CAMP MOWEEN RD |
| City | LEBANON |
| State | CT |
| Zip Code | 06249-2704 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd · Lebanon Pines Long Term Care Facility | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lebanon Pines Long Term Care | 37a Camp Moween Rd, Lebanon, CT 06249-2704 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Brett E Halen | 81 Camp Moween Rd, Lebanon, CT 06249-2704 | Heating, Piping & Cooling Limited Journeyperson | 2019-09-01 ~ 2020-08-31 |
| Richard W Backiel | 87 Camp Moween Rd, Lebanon, CT 06249-2704 | Casino Class I Employee | 2019-12-11 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diana Bazzano | 106 Bascom Road, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Alan Peed | 353 Randall Rd, Lebanon, CT 06249 | Home Improvement Contractor | 2020-06-24 ~ 2020-11-30 |
| David Hooper | 100 Barker Rd, Lebanon, CT 06249 | Sub-surface Sewage Installer | 2020-09-01 ~ 2021-08-31 |
| Matthew L Smith Aprn | 336 Babcock Hill Rd, Lebanon, CT 06249 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Anna M Bender · Warzecha | 58 Barker Rd, Lebanon, CT 06249 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Leslie H Cote | 236 Mack Road, Lebanon, CT 06249 | Notary Public Appointment | 2016-06-01 ~ 2021-05-31 |
| Alyna J Stober | 40 Meadow Ridge Dr., Lebanon, CT 06249 | Emergency Medical Technician | ~ |
| Susan L Lambert | 648 Tobacco St, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| John J Buda | 46 Ryan Terrace, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Amy Margaret Yankanich | 67 Reservoir Rd, Lebanon, CT 06249 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06249 | |||
| City | LEBANON |
| Zip Code | 06249 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + LEBANON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scadd · Lebanon Pines Long Term Care Facility | 37 Camp Moween Rd, Lebanon, CT 06249-2704 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Scadd Outpatient | 932 Bank St, New London, CT 06320-2703 | Psychiatric Outpatient Clinic | 2016-07-11 ~ 2020-06-30 |
| Scadd Outpatient | 321 Main St, Norwich, CT 06360-5840 | Psychiatric Outpatient Clinic | 2016-07-11 ~ 2020-06-30 |
| Lebanon Pines Long Term Care | 37a Camp Moween Rd, Lebanon, CT 06249-2704 | Substance Abuse | 2019-07-01 ~ 2021-06-30 |
| Scadd · Acute Care and Evaluation Facility | 47 Coit St, New London, CT 06320-5924 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Outpatient Clinic | 205-209 Orange St, New Haven, CT 06511 | Psychiatric Outpatient Clinic | 2014-01-01 ~ 2017-12-31 |
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services | 540 Ella T Grasso Blvd, New Haven, CT 06519-1830 | Psychiatric Outpatient Clinic | 2010-05-19 ~ 2014-03-31 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services | 495 Congress Ave, New Haven, CT 06519-1312 | Psychiatric Outpatient Clinic | 2017-12-31 ~ 2021-12-31 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services. | 425 Grant St, Bridgeport, CT 06610-3222 | Psychiatric Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
Please comment or provide details below to improve the information on SCADD LEBANON PINES.
| 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).