COMMUNITY HEALTH CENTER NATHAN HALE-RAY HIGH SCHOOL BASED HEALTH SERVICES (Credential# 1595854) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is August 28, 2018. The license expiration date date is June 30, 2022. The license status is ACTIVE.
COMMUNITY HEALTH CENTER NATHAN HALE-RAY HIGH SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000687. The credential type is psychiatric outpatient clinic. The effective date is August 28, 2018. The expiration date is June 30, 2022. The business address is 15 School Rd, Moodus, CT 06469-1167. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER NATHAN HALE-RAY HIGH SCHOOL BASED HEALTH SERVICES |
| Business Name | COMMUNITY HEALTH CENTER NATHAN HALE-RAY HIGH SCHOOL BASED HEALTH SERVICES |
| Doing Business As | COMMUNITY HEALTH CENTER NATHAN HALE-RAY HIGH SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1595854 |
| Credential Number | POCA.0000687 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
15 School Rd Moodus CT 06469-1167 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-28 |
| Effective Date | 2018-08-28 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-08-28 |
| Street Address | 15 SCHOOL RD |
| City | MOODUS |
| State | CT |
| Zip Code | 06469-1167 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maria Cicero Barber | 82 Mott Lane, Moodus, CT 06469 | Professional Counselor | 2020-08-01 ~ 2021-07-31 |
| Matthew R Riley | 53 Great Hillwood Road, Moodus, CT 06469 | Real Estate Salesperson | ~ |
| Toni L Daddeo · Alden | 3 Winterbrooke Rd, Moodus, CT 06469 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Heather Congdon | 63 Falls Rd, Moodus, CT 06469 | Professional Counselor Associate | ~ |
| Fallon Elizabeth Morris | 29 White Sands Rd, Moodus, CT 06469 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erika J Mccormack | 108 Stockburger Rd., Moodus, CT 06469 | Hairdresser/cosmetician | 2020-06-01 ~ 2022-05-31 |
| Emily K Foster | 17 Robbie Road, Moodus, CT 06469 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Nancy G O'briant | 129 Leesville Rd, Moodus, CT 06469 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Kayla Rivera | 138 Fall Road, Moodus, CT 06469 | Medication Administration Certification | 2020-06-03 ~ 2022-06-03 |
| Suzanne Kraynak | 35 Trowbrige Rd, Moodus, CT 06469 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 06469 | |||
| City | MOODUS |
| Zip Code | 06469 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + MOODUS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Community Health Center Nathan Hale Arts Magnet School Based Health Services | 37 Beech Drive, New London, CT 06320 | Outpatient Clinic | 2017-11-01 ~ 2021-12-31 |
| 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 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 Branford High School Based Health Services | 185 East Main Street, Branford, CT 06405 | Outpatient Clinic | 2017-03-21 ~ 2020-12-31 |
| 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 Stafford Hgh School Based Health Services | 145 Orcuttville Rd, Stafford Springs, CT 06076-3730 | Psychiatric Outpatient Clinic | 2018-02-23 ~ 2021-12-31 |
| Community Health Center Pathways Academy School Based Health Services | 35 Bishop St, East Haven, CT 06512-2939 | Psychiatric Outpatient Clinic | 2018-08-29 ~ 2022-06-30 |
Please comment or provide details below to improve the information on COMMUNITY HEALTH CENTER NATHAN HALE-RAY 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).