SOUTHWEST COMMUNITY HEALTH CENTER, INC. (Credential# 1191413) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2017. The license expiration date date is September 30, 2021. The license status is ACTIVE.
SOUTHWEST COMMUNITY HEALTH CENTER, INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000563. The credential type is psychiatric outpatient clinic. The effective date is October 1, 2017. The expiration date is September 30, 2021. The business address is 46 Albion St, Bridgeport, CT 06605-2602. The current status is active.
| Licensee Name | SOUTHWEST COMMUNITY HEALTH CENTER, INC. |
| Business Name | SOUTHWEST COMMUNITY HEALTH CENTER, INC. |
| Doing Business As | SOUTHWEST COMMUNITY HEALTH CENTER, INC. |
| Credential ID | 1191413 |
| Credential Number | POCA.0000563 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
46 Albion St Bridgeport CT 06605-2602 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-10-29 |
| Effective Date | 2017-10-01 |
| Expiration Date | 2021-09-30 |
| Refresh Date | 2019-10-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1191415 | SA.0000466 | Substance Abuse | 2013-10-29 | 2019-10-01 - 2021-09-30 | ACTIVE |
| 1162926 | OPC.0000688 | Outpatient Clinic | 2013-05-09 | 2017-04-01 - 2021-03-31 | ACTIVE |
| Business ID | 0062480 |
| Business Name | SOUTHWEST COMMUNITY HEALTH CENTER, INC. |
| Business Address | 46 ALBION STREET, BRIDGEPORT, CT, 06605 |
| Mailing Address | 46 ALBION STREET, BRIDGEPORT, CT, 06605 |
| Registration Date | 1976-05-25 |
| State Citizenship | Domestic/CT |
| Business Type | Non-Stock |
| Business Status | Active |
| Agent Name | KATHERINE S. YACAVONE |
| Agent Business Address | 968 FAIRFIELD AVENUE, BRIDGEPORT, CT, 06605-1116 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Southwest Community Health Center, Inc. | 762 Lindley Street, Bridgeport, CT 06606 | Outpatient Clinic | 2018-01-18 ~ 2020-12-31 |
| Street Address | 46 ALBION ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2602 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Southwest Community Health Center Inc | 46 Albion St, Bridgeport, CT 06605-2602 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jasmine D Munoz · Plaza Mexico Lindo | 94 Albion St, Bridgeport, CT 06605-2602 | Grocery Beer | ~ |
| Djana F Harp | Southwest Community Health Center, Bridgeport, CT 06605-2602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
|---|---|---|---|
| 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 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 361 Bird Street, Bridgeport, CT 06605 | Outpatient Clinic | 2012-07-01 ~ 2016-06-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Substance Abuse | 2020-01-01 ~ 2021-12-31 |
| Southwest Community Health Center Inc. · Hosanna Christian Ministries | 1416 Fairfield Avenue, Bridgeport, CT 06604 | Outpatient Clinic | ~ 2000-09-30 |
| Southwest Community Health Center Inc. · University Residential Facility | 341 Clinton Avenue, Bridgeport, CT 06605 | Outpatient Clinic | 2000-10-01 ~ 2002-09-30 |
| Southwest Community Health Center Inc. · Re-entry Ministries | 204 Hollister Avenue, Bridgeport, CT 06607 | Outpatient Clinic | 2004-04-01 ~ 2008-03-31 |
| Southwest Community Health Center Inc. · Roosevelt School-school Based Health Center | 680 Park Avenue, Bridgeport, CT 06604 | Outpatient Clinic | 2009-03-13 ~ 2012-12-31 |
| Southwest Community Health Center Inc. · Clinton Street Shelter | 10-13 Clinton Avenue, Bridgeport, CT 06605 | Outpatient Clinic | 2004-04-01 ~ 2008-03-31 |
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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).