WHEELER CLINIC: BRISTOL ADULT OUTPATIENT SERVICES (Credential# 1191249) 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.
WHEELER CLINIC: BRISTOL ADULT OUTPATIENT SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #SA.0000465. The credential type is substance abuse. The effective date is October 1, 2019. The expiration date is September 30, 2021. The business address is 10 N Main St, Bristol, CT 06010-8122. The current status is active.
| Licensee Name | WHEELER CLINIC: BRISTOL ADULT OUTPATIENT SERVICES |
| Business Name | WHEELER CLINIC: BRISTOL ADULT OUTPATIENT SERVICES |
| Doing Business As | WHEELER CLINIC: BRISTOL ADULT OUTPATIENT SERVICES |
| Credential ID | 1191249 |
| Credential Number | SA.0000465 |
| Credential Type | Substance Abuse |
| Business Address |
10 N Main St Bristol CT 06010-8122 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-11-01 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2019-10-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1191247 | POCA.0000561 | Psychiatric Outpatient Clinic | 2013-11-01 | 2017-10-01 - 2021-09-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wheeler Clinic: Bristol Adult Outpatient Services | 36 Race St, Bristol, CT 06010-4931 | Psychiatric Outpatient Clinic | 2012-11-16 ~ 2016-09-30 |
| Street Address | 10 N MAIN ST |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-8122 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wheeler Clinic, Inc. | 10 N Main St, Bristol, CT 06010-8122 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frederick O Reindel | 10 N Main St Ste 210, Bristol, CT 06010-8122 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nachiappan Manoharan Md | 10 N Main St Ste 210, Bristol, CT 06010-8122 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| N Manoharan | 10 N Main St Ste 210, Bristol, CT 06010-8122 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Deborah M Dube · Adamaitis | 33 Peck Lane, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Barbara M Williams | 45 Harrison Street, Bristol, CT 06010 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Le Bao Linh Nguyen | 229 Silo Rd, Bristol, CT 06010 | Nail Technician | ~ |
| Tara M Chipman | 38 Grove St, Bristol, CT 06010 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jaclyn J Brandolini | 424 Emmett St, Bristol, CT 06010 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Hoa Le | 63 Seminary St, Bristol, CT 06010 | Nail Technician | ~ |
| Barbara E Trench | 25 Peacedale St, Bristol, CT 06010 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tisha A Balfour | 379 West Street, Bristol, CT 06010 | Licensed Practical Nurse | 2020-08-01 ~ 2021-07-31 |
| Meredith Rose Martineau | 15 Bishop Street, Bristol, CT 06010 | Master's Level Social Worker - Temporary Permit | 2020-06-26 ~ 2020-09-06 |
| Jaime L Krueger | 130 Garfield Road, Bristol, CT 06010 | Notary Public Appointment | 2020-06-26 ~ 2025-06-30 |
| Find all Licenses in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| License Type | Substance Abuse |
| License Type + County | Substance Abuse + BRISTOL |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Wheeler Clinic, Inc. | 225 North Main St, Suite 106, Bristol, CT 06010 | Psychiatric Outpatient Clinic | 2019-01-10 ~ 2022-12-31 |
| Wheeler Clinic, Inc. | 10 N Main St, Bristol, CT 06010-8122 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Bridges' Cssd Adult Counseling Services | 1 Darina Pl, Milford, CT 06460-3329 | Psychiatric Outpatient Clinic | 2013-11-13 ~ 2017-09-30 |
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Wheeler Clinic | 855 Lakewood Road, Waterbury, CT 06704 | Psychiatric Outpatient Clinic | 2020-05-08 ~ 2023-03-31 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc. | 36 Russell St, New Britain, CT 06052-1313 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Wheeler Clinic, Inc. | 100 Jefferson Sq, Waterbury, CT 06706-1109 | Psychiatric Outpatient Clinic | 2019-08-05 ~ 2023-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc. | 645 Farmington Ave, Hartford, CT 06105-2907 | Psychiatric Outpatient Clinic | 2013-07-01 ~ 2017-06-30 |
| Wheeler Clinic, Inc. | 999 Asylum Ave, Hartford, CT 06105-2416 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Wheeler Clinic Inc. · Wheeler Clinic, Inc | 91 Northwest Dr, Plainville, CT 06062-1534 | Psychiatric Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
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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).