COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES (Credential# 1415278) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is March 21, 2017. The license expiration date date is December 31, 2020. The license status is ACTIVE.
COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000864. The credential type is outpatient clinic. The effective date is March 21, 2017. The expiration date is December 31, 2020. The business address is 185 East Main Street, Branford, CT 06405. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES |
| Business Name | COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES |
| Doing Business As | COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1415278 |
| Credential Number | OPC.0000864 |
| Credential Type | Outpatient Clinic |
| Business Address |
185 East Main Street Branford CT 06405 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-03-30 |
| Effective Date | 2017-03-21 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2017-03-30 |
| Street Address | 185 EAST MAIN STREET |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Branford High School Pta | 185 East Main Street, Branford, CT 06405 | Public Charity-exempt From Financial Requirements | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raymond M Johnson | 39 Bayberry Lane, Branford, CT 06405 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kirsten M Ranciato | 288 East Main Street, Branford, CT 06405 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Bimala Khadka Thapa | 726 Robert Frost Dr., Branford, CT 06405 | Nail Technician | ~ |
| Paul E Basile | 42 Valley Brook Road South, Branford, CT 06405 | Perfusionist | 2020-08-01 ~ 2021-07-31 |
| Lupe Monica Placencia-muy | 100 East Main Street 2nd Fl, Branford, CT 06405 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Bridget J Jennings | 159 Queach Road, Branford, CT 06405 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Ujeli Acharya | 21 Burban Drive, Branford, CT 06405 | Nail Technician | ~ |
| Cathleen Smith | 50 First Avenue, Branford, CT 06405 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Gita Thapa | 94 Village Lane, Branford, CT 06405 | Nail Technician | ~ |
| Cycle Venture Partners Fund I Lp - Lumeda Series 1 | 50 Limewood Avenue, Branford, CT 06405 | Securities - Exemptions | 2020-06-17 ~ |
| Find all Licenses in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + BRANFORD |
| 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 Stonington High School Based Health Services | 176 South Broad Street, Pawcatuck, CT 06379 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| 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 Stafford High School Based Health Services | 145 Orcuttville Road, Stafford Springs, CT 06076 | Outpatient Clinic | 2017-11-08 ~ 2021-12-31 |
| 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 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 Portland High School Based Health Services | 95 High St, Portland, CT 06480-1656 | Psychiatric Outpatient Clinic | 2018-01-31 ~ 2021-12-31 |
| Community Health Center Stratford High School Based Health Services | 45 N Parade Street, Stratford, CT 06615 | Outpatient Clinic | 2017-09-06 ~ 2021-09-30 |
| Community Health Center Windsor Lock High School Based Health Services | 58 South Elm Street, Windsor Locks, CT 06096 | Outpatient Clinic | 2017-09-14 ~ 2021-09-30 |
| Community Health Center Enfield High School Based Health Services | 1264 Enfield Street, Enfield, CT 06082 | Outpatient Clinic | 2017-11-08 ~ 2021-12-31 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER BRANFORD HIGH SCHOOL BASED HEALTH SERVICES.
| 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).