BASSICK HIGH SCHOOL, SCHOOL BASED HEALTH CENTER (Credential# 929472) is licensed (Outpatient Clinic) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2017. The license expiration date date is December 31, 2020. The license status is ACTIVE.
BASSICK HIGH SCHOOL, SCHOOL BASED HEALTH CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #OPC.0000492. The credential type is outpatient clinic. The effective date is January 1, 2017. The expiration date is December 31, 2020. The business address is 1181 Fairfield Ave, Bridgeport, CT 06605-1183. The current status is active.
| Licensee Name | BASSICK HIGH SCHOOL, SCHOOL BASED HEALTH CENTER |
| Business Name | BASSICK HIGH SCHOOL, SCHOOL BASED HEALTH CENTER |
| Doing Business As | BASSICK HIGH SCHOOL, SCHOOL BASED HEALTH CENTER |
| Credential ID | 929472 |
| Credential Number | OPC.0000492 |
| Credential Type | Outpatient Clinic |
| Business Address |
1181 Fairfield Ave Bridgeport CT 06605-1183 |
| Business Type | CORPORATION |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-03-02 |
| Effective Date | 2017-01-01 |
| Expiration Date | 2020-12-31 |
| Refresh Date | 2017-02-02 |
| Street Address | 1181 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1183 |
| 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 | Outpatient Clinic |
| License Type + County | Outpatient Clinic + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Central High School- School Based Health Center | 1 Lincoln Blvd, Bridgeport, CT 06606-5502 | Outpatient Clinic | 2017-01-01 ~ 2020-12-31 |
| School Based Health Center At Westhill High School | 125 Roxbury Rd, Stamford, CT 06902-1215 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Harding High School Based Health Center | 1734 Central Ave, Bridgeport, CT 06610-2763 | Outpatient Clinic | 2017-01-01 ~ 2020-12-31 |
| 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'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 Stonington High School Based Health Services | 176 South Broad Street, Pawcatuck, CT 06379 | Outpatient Clinic | 2017-09-26 ~ 2021-09-30 |
| Fitch High School Based Health Center | 101 Groton Long Point Rd, Groton, CT 06340-4861 | Outpatient Clinic | 2018-07-01 ~ 2021-06-30 |
| Stamford High School Based Health Center | 55 Strawberry Hill Ave, Stamford, CT 06902-2608 | Outpatient Clinic | 2016-07-01 ~ 2020-06-30 |
| Community Health Center Enfield High School Based Health Center | 1264 Enfield St, Enfield, CT 06082-4947 | Psychiatric Outpatient Clinic | 2018-02-23 ~ 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 |
Please comment or provide details below to improve the information on BASSICK HIGH SCHOOL, 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).