COMMUNITY HEALTH CENTER ENFIELD HIGH SCHOOL BASED HEALTH CENTER (Credential# 1494312) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is February 23, 2018. The license expiration date date is December 31, 2021. The license status is ACTIVE.
COMMUNITY HEALTH CENTER ENFIELD HIGH SCHOOL BASED HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000672. The credential type is psychiatric outpatient clinic. The effective date is February 23, 2018. The expiration date is December 31, 2021. The business address is 1264 Enfield St, Enfield, CT 06082-4947. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER ENFIELD HIGH SCHOOL BASED HEALTH CENTER |
| Business Name | COMMUNITY HEALTH CENTER ENFIELD HIGH SCHOOL BASED HEALTH CENTER |
| Doing Business As | COMMUNITY HEALTH CENTER ENFIELD HIGH SCHOOL BASED HEALTH CENTER |
| Credential ID | 1494312 |
| Credential Number | POCA.0000672 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
1264 Enfield St Enfield CT 06082-4947 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-23 |
| Effective Date | 2018-02-23 |
| Expiration Date | 2021-12-31 |
| Refresh Date | 2018-02-23 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1494310 | OPC.0000926 | Outpatient Clinic | - | PENDING |
| Street Address | 1264 ENFIELD ST |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4947 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kaitlyn A Pelligrinelli | 38 Haynes St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Sharon M Smith | 11 Eleanor Rd, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kerry A Tanguay · Lang | 11 Somers Road, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Colleen E Galbraith | 12 Southview St, Enfield, CT 06082 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Paul F Misbach | 502 Taylor Road, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Catherine R Mcculloch | 84 Wynwood Drive, Enfield, CT 06082 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Phillip G Seidel | 318 North Maple St, Enfield, CT 06082 | Optician | 2020-05-01 ~ 2021-04-30 |
| Matthew Crossen | 19 Elan Street, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-19 ~ 2021-05-31 |
| Baco's Pizza Inc | 410 Enfield St, Enfield, CT 06082 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Jessica G Martin | 72 Belmont Ave, Enfield, CT 06082 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06082 | |||
| City | ENFIELD |
| Zip Code | 06082 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + ENFIELD |
| 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 Services | 1264 Enfield Street, Enfield, CT 06082 | Outpatient Clinic | 2017-11-08 ~ 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 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 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 Branford High School Based Health Services | 185 East Main Street, Branford, CT 06405 | Outpatient Clinic | 2017-03-21 ~ 2020-12-31 |
| Community Health Center's Middletown High School School Based Health Center | 200 La Rosa Ln, Middletown, CT 06457-2148 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| Community Health Center Portland High School Based Health Services | 95 High Street, Middletown, CT 06457 | Outpatient Clinic | 2017-03-22 ~ 2020-12-31 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER ENFIELD HIGH 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).