LIBERATION METHADONE CLINIC (BRIDGEPORT) (Credential# 930081) is licensed (Substance Abuse) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2021. The license status is ACTIVE.
LIBERATION METHADONE CLINIC (BRIDGEPORT) is licensed with the Department of Consumer Protection of Connecticut. The credential number is #SA.0000290. The credential type is substance abuse. The effective date is October 1, 2019. The expiration date is September 30, 2021. The business address is 399 Mill Hill Ave, Bridgeport, CT 06610-2865. The current status is active.
| Licensee Name | LIBERATION METHADONE CLINIC (BRIDGEPORT) |
| Business Name | LIBERATION METHADONE CLINIC (BRIDGEPORT) |
| Doing Business As | LIBERATION METHADONE CLINIC (BRIDGEPORT) |
| Credential ID | 930081 |
| Credential Number | SA.0000290 |
| Credential Type | Substance Abuse |
| Business Address |
399 Mill Hill Ave Bridgeport CT 06610-2865 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-10-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2020-02-11 |
| Street Address | 399 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2865 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liberation Programs Inc. · Liberation Programs, Inc. | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nilca Janice Cardenales | 66 Rose St, Bridgeport, CT 06610 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kiara Lizbeth Corporan | 10 Sturtevant Pl, Bridgeport, CT 06610 | Eyelash Technician | ~ |
| Alisha Garcia | 65 Berkeley Place, Bridgeport, CT 06610 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Pauline Parkes | 96 Virginia Avenue, Bridgeport, CT 06610 | Licensed Clinical Social Worker | ~ |
| Denise Reyes | 1125 Huntington Turnpike, Bridgeport, CT 06610 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Avery M Rilley | 80 Granfield Avenue, Bridgeport, CT 06610 | Pharmacy Technician | 2020-06-25 ~ 2021-03-31 |
| Bozena K. Malyszko | Bridgeport Hospital, Bridgeport, CT 06610 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Amy Espinosa | 146 Court D, Bridgeport, CT 06610 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Wilhelmina Jackson · Thomas | 172 Court D, Bridgeport, CT 06610 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Emma Agyeiwaa Vaczek | P.o Box 5223, Bridgeport, CT 06610 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06610 | |||
| City | BRIDGEPORT |
| Zip Code | 06610 |
| License Type | Substance Abuse |
| License Type + County | Substance Abuse + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Liberation Clinic | 125 Main St, Stamford, CT 06901-2818 | Substance Abuse | 2020-04-01 ~ 2022-03-31 |
| Liberation Programs Inc. · Liberation Programs, Inc. | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Liberation Programs, Inc. | 125 Main St, Stamford, CT 06901-2818 | Psychiatric Outpatient Clinic | 2018-04-01 ~ 2022-03-31 |
| Blue Hills Sub Abuse/ct Valley Hospital- Methadone · Eva Kaplan, Rph | 500 Vine Street, Hartford, CT 06112 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Liberation House | 119 Main St, Stamford, CT 06901-2818 | Substance Abuse | 2020-04-01 ~ 2022-03-31 |
| Liberation Programs Inc. · Meridian Hill Triage and Detoxification | 4 Elmcrest Terrace, Norwalk, CT 06850 | Substance Abuse | 2003-10-01 ~ 2005-09-30 |
| Liberation Programs Wellness Van | 117 Main St, Stamford, CT 06901 | Substance Abuse | 2019-11-19 ~ 2021-09-30 |
| Conversion Data · Liberation Clinic | 125 Main St, Stamford, CT 06901 | Substance Abuse | ~ 1998-03-31 |
| Liberation Programs Inc. · Greenwich Youth Options | 55 Old Field Point Road, Greenwich, CT 06830 | Substance Abuse | 2012-04-01 ~ 2014-03-31 |
| Liberation Programs · Darien Youth Options | 120 Brookside Drive, Darien, CT 06820 | Substance Abuse | ~ 1998-03-31 |
Please comment or provide details below to improve the information on LIBERATION METHADONE CLINIC (BRIDGEPORT).
| 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).