COMMUNITY HEALTH CENTER BURNELL HIGH SCHOOL BASED HEALTH SERVICES (Credential# 1643750) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is February 27, 2019. The license expiration date date is March 31, 2022. The license status is ACTIVE.
COMMUNITY HEALTH CENTER BURNELL HIGH SCHOOL BASED HEALTH SERVICES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000994. The credential type is outpatient clinic. The effective date is February 27, 2019. The expiration date is March 31, 2022. The business address is 1 Bulldog Boulevard, Stratford, CT 06615. The current status is active.
| Licensee Name | COMMUNITY HEALTH CENTER BURNELL HIGH SCHOOL BASED HEALTH SERVICES |
| Business Name | COMMUNITY HEALTH CENTER BURNELL HIGH SCHOOL BASED HEALTH SERVICES |
| Doing Business As | COMMUNITY HEALTH CENTER BURNELL HIGH SCHOOL BASED HEALTH SERVICES |
| Credential ID | 1643750 |
| Credential Number | OPC.0000994 |
| Credential Type | Outpatient Clinic |
| Business Address |
1 Bulldog Boulevard Stratford CT 06615 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-04-02 |
| Effective Date | 2019-02-27 |
| Expiration Date | 2022-03-31 |
| Refresh Date | 2019-04-02 |
| Street Address | 1 BULLDOG BOULEVARD |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarath Koun | 323 Bruce Ave, Stratford, CT 06615 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-03-31 |
| Constance Trenske | 50 Birdseye Street, #105a, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jennifer Massey | 187 Third Ave, Stratford, CT 06615 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Regina M Golden | 295 2nd Ave, Stratford, CT 06615 | Real Estate Salesperson | 2020-06-25 ~ 2021-05-31 |
| Susan R Leventhal | 265 Second Ave, Stratford, CT 06615 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Danielle M Donfrancesco | 90 Sands Pl, Stratford, CT 06615 | Esthetician | ~ |
| James A Phillips | 735 Broad Street, Stratford, CT 06615 | Backflow Prevention Device Tester | 2020-05-27 ~ 2023-03-31 |
| Debra J Cennamo | 155 Short Beach Rd, Stratford, CT 06615 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Melissa Andrea Escobar-avilez | [email protected], Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Stephanie Gabon | 1168 Main Street, C6, Stratford, CT 06615 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06615 | |||
| City | STRATFORD |
| Zip Code | 06615 |
| License Type | Outpatient Clinic |
| License Type + County | Outpatient Clinic + STRATFORD |
| 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 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 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 BURNELL 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).