COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER (Credential# 929175) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000509. The credential type is outpatient clinic. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 200 La Rosa Ln, Middletown, CT 06457-2148. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER |
| Business Name | COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER |
| Doing Business As | COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER |
| Credential ID | 929175 |
| Credential Number | OPC.0000509 |
| Credential Type | Outpatient Clinic |
| Business Address |
200 La Rosa Ln Middletown CT 06457-2148 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-09-09 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2017-08-15 |
| Street Address | 200 LA ROSA LN |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-2148 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Middletown High School | 200 La Rosa Ln, Middletown, CT 06457-2148 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Middletown High School Blue Dragon Booster Club Inc | 200 La Rosa Ln, Middletown, CT 06457-2148 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Middletown High School | 200 La Rosa Ln, Middletown, CT 06457-2148 | Raffle Permit Class 2 | 2017-05-04 ~ 2017-05-18 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + MIDDLETOWN |
| 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 Enfield High School Based Health Center | 1264 Enfield St, Enfield, CT 06082-4947 | Psychiatric Outpatient Clinic | 2018-02-23 ~ 2021-12-31 |
| Community Health Center Stonington High School Based Health Services | 176 South Broad Street, Pawcatuck, CT 06379 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| 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 Burnell High School Based Health Services | 1 Bulldog Boulevard, Stratford, CT 06615 | Outpatient Clinic | 2019-02-27 ~ 2022-03-31 |
| Community Health Center Inc. · Woodrow Wilson Middle School School Based Health Center | Wilderman's Way, Middletown, CT 06457 | Outpatient Clinic | 2005-01-01 ~ 2008-12-31 |
| Community Health Center School Based Health Center Roosevelt School | 40 Goodwin St, New Britain, CT 06051-2814 | Outpatient Clinic | 2019-11-25 ~ 2023-03-31 |
| 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 Branford High School Based Health Services | 185 East Main Street, Branford, CT 06405 | Outpatient Clinic | 2017-03-21 ~ 2020-12-31 |
| Community Health Center Stafford High School Based Health Services | 145 Orcuttville Road, Stafford Springs, CT 06076 | Outpatient Clinic | 2017-11-08 ~ 2021-12-31 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER'S MIDDLETOWN HIGH SCHOOL SCHOOL BASED HEALTH CENTER.
| 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).