BRIDGEPORT COMMUNITY HEALTH CENTER (Credential# 929151) is licensed (Psychiatric Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2017. The license expiration date date is March 31, 2021. The license status is ACTIVE.
BRIDGEPORT COMMUNITY HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #POCA.0000461. The credential type is psychiatric outpatient clinic. The effective date is April 1, 2017. The expiration date is March 31, 2021. The business address is 471 Barnum Ave, Bridgeport, CT 06608-2409. The current status is active.
| Licensee Name | BRIDGEPORT COMMUNITY HEALTH CENTER |
| Business Name | BRIDGEPORT COMMUNITY HEALTH CENTER |
| Doing Business As | BRIDGEPORT COMMUNITY HEALTH CENTER |
| Credential ID | 929151 |
| Credential Number | POCA.0000461 |
| Credential Type | Psychiatric Outpatient Clinic |
| Business Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-06-19 |
| Effective Date | 2017-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2019-07-22 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bridgeport Community Health Center | 982 E Main St, Bridgeport, CT 06608-1913 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Street Address | 471 BARNUM AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-2409 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Optimus Health Care, Inc. | 471 Barnum Ave, Bridgeport, CT 06608-2409 | Substance Abuse | 2018-07-01 ~ 2020-06-30 |
| Bridgeport Community Health Center, Inc. | 471 Barnum Ave, Bridgeport, CT 06608-2409 | Outpatient Clinic | 2016-04-01 ~ 2020-03-31 |
| Maria V Dejesus | 471 Barnum Ave, Bridgeport, CT 06608 | Community Health Worker | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joseph Spain Sr · Flava Sports | 487 Barnum Ave, Bridgeport, CT 06608-2409 | Secondhand Dealer of Bedding & Upholstered Furniture | 2019-06-25 ~ 2020-04-30 |
| Patricia A Marciano | 982 East Main St, Bridgeport, CT 06608-2409 | Licensed Nurse Midwife | 2020-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Luisa A Sierra | 199 Park Street, Bridgeport, CT 06608 | Notary Public Appointment | 2020-10-01 ~ 2025-09-30 |
| Cassandra Denise Narvaez | 751 Brooks St, Bridgeport, CT 06608 | Esthetician | 2020-06-13 ~ 2022-03-31 |
| Carleen Salmon | 824 Kossuth Street, Bridgeport, CT 06608 | Medication Administration Certification | ~ |
| Rochelle George | 858 Noble Avenue, Bridgeport, CT 06608 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marissa Mckelvie | 212 Hough Avenue, Bridgeport, CT 06608 | Master's Level Social Worker - Temporary Permit | 2020-06-12 ~ 2020-09-14 |
| Erick Gonzalez | 536 Hallett St, Bridgeport, CT 06608 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Two Brothers Pizza House | 895 Noble Ave, Bridgeport, CT 06608 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Angela M Smillie | 114 Orchard Street, Bridgeport, CT 06608 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Tyra L Wallace | 302 Park Street, Bridgeport, CT 06608 | Notary Public Appointment | 2020-06-01 ~ 2025-05-31 |
| Keandra M. Snider | 65 Steuben Street 7, Bridgeport, CT 06608 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06608 | |||
| City | BRIDGEPORT |
| Zip Code | 06608 |
| License Type | Psychiatric Outpatient Clinic |
| License Type + County | Psychiatric Outpatient Clinic + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc./outpatient Treatment Program | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Southwest Community Health Center Inc. · Southwest Community Health Center, Inc. | 968 Fairfield Ave, Bridgeport, CT 06605-1116 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Housatonic Community College Health Center | 900 Lafayette Blvd, Bridgeport, CT 06604-4704 | Psychiatric Outpatient Clinic | 2018-06-06 ~ 2022-03-31 |
| Bridgeport Community Health Center Inc. · North End Clinic | 1381 Reservoir Avenue, Bridgeport, CT 06606 | Outpatient Clinic | 2005-01-01 ~ 2008-12-31 |
| Ralphola Taylor Community Health Center | 790 Central Ave, Bridgeport, CT 06607-1705 | Psychiatric Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Bridgeport Community Health Center Inc. · Stamford Community Health Center | 245 Selleck Street, Stamford, CT 06902 | Outpatient Clinic | 2000-10-17 ~ 2002-09-30 |
| Bridgeport Community Health Center, Inc | 982 E Main St # 988, Bridgeport, CT 06608-1913 | Outpatient Clinic | 2016-04-01 ~ 2020-03-31 |
| Bridgeport Community Health Center, Inc. | 471 Barnum Ave, Bridgeport, CT 06608-2409 | Outpatient Clinic | 2016-04-01 ~ 2020-03-31 |
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| 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).