BOYS & GIRLS VILLAGE OUTPATIENT SERVICES (Credential# 1624768) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is January 9, 2019. The license expiration date date is December 31, 2022. The license status is ACTIVE.
BOYS & GIRLS VILLAGE OUTPATIENT SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000705. The credential type is psychiatric outpatient clinic. The effective date is January 9, 2019. The expiration date is December 31, 2022. The business address is 170 Bennett St, Bridgeport, CT 06605-2901. The current status is active.
| Licensee Name | BOYS & GIRLS VILLAGE OUTPATIENT SERVICES |
| Business Name | BOYS & GIRLS VILLAGE OUTPATIENT SERVICES |
| Doing Business As | BOYS & GIRLS VILLAGE OUTPATIENT SERVICES |
| Credential ID | 1624768 |
| Credential Number | POCA.0000705 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
170 Bennett St Bridgeport CT 06605-2901 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-01-09 |
| Effective Date | 2019-01-09 |
| Expiration Date | 2022-12-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1624771 | SA.0000584 | Substance Abuse | 2019-01-09 | 2019-01-09 - 2020-12-31 | ACTIVE |
| Street Address | 170 BENNETT ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2901 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natures Animals Inc | 170 Bennett St, Bridgeport, CT 06605 | Bakery | 1998-07-01 ~ 1999-06-30 |
| 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 |
|---|---|---|---|
| Outpatient Services | 76 Hartford Rd, Brooklyn, CT 06234-1715 | Psychiatric Outpatient Clinic | 2016-10-18 ~ 2020-09-30 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services | 540 Ella T Grasso Blvd, New Haven, CT 06519-1830 | Psychiatric Outpatient Clinic | 2010-05-19 ~ 2014-03-31 |
| Boys & Girls Village Inc | 528 Wheelers Farms Rd, Milford, CT 06461-1847 | Public Charity | 2020-06-01 ~ 2021-05-31 |
| Transitions Outpatient Services | 1491 Main St, Willimantic, CT 06226-1914 | Psychiatric Outpatient Clinic | 2012-02-27 ~ 2015-12-31 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services. | 425 Grant St, Bridgeport, CT 06610-3222 | Psychiatric Outpatient Clinic | 2014-04-01 ~ 2018-03-31 |
| Apt Foundation Inc. Psychiatric Outpatient Services · Apt Foundation Psychiatric Outpatient Services | 495 Congress Ave, New Haven, CT 06519-1312 | Psychiatric Outpatient Clinic | 2017-12-31 ~ 2021-12-31 |
| Waterbury Outpatient Services | 255 Bank St, Waterbury, CT 06702-2219 | Psychiatric Outpatient Clinic | 2018-11-21 ~ 2022-09-30 |
| Chr Outpatient Services, Willimantic | 433 Valley St, Willimantic, CT 06226-1901 | Psychiatric Outpatient Clinic | 2020-04-01 ~ 2023-03-31 |
| Chr Outpatient Services, Danielson | 37 Commerce Ave, Danielson, CT 06239-2804 | Psychiatric Outpatient Clinic | 2016-01-01 ~ 2019-12-31 |
| Chr Hartford-outpatient Services | 999 Asylum Ave, Hartford, CT 06105-2416 | Psychiatric Outpatient Clinic | 2018-08-09 ~ 2022-06-30 |
Please comment or provide details below to improve the information on BOYS & GIRLS VILLAGE OUTPATIENT 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).