SOUTHWEST COMMUNITY HEALTH CENTER INC. (Credential# 930308) is licensed (Substance Abuse) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2021. The license status is ACTIVE.
SOUTHWEST COMMUNITY HEALTH CENTER INC. is licensed with the Department of Consumer Protection of Connecticut. The credential number is #SA.0000260. The credential type is substance abuse. The effective date is January 1, 2020. The expiration date is December 31, 2021. The business address is 1046 Fairfield Ave, Bridgeport, CT 06605-1116. The current status is active.
| Licensee Name | SOUTHWEST COMMUNITY HEALTH CENTER INC. |
| Business Name | SOUTHWEST COMMUNITY HEALTH CENTER INC. |
| Doing Business As | SOUTHWEST COMMUNITY HEALTH CENTER, INC./OUTPATIENT TREATMENT |
| Credential ID | 930308 |
| Credential Number | SA.0000260 |
| Credential Type | Substance Abuse |
| Business Address |
1046 Fairfield Ave Bridgeport CT 06605-1116 |
| Business Type | GOVERNMENT AGENCY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-01-01 |
| Effective Date | 2020-01-01 |
| Expiration Date | 2021-12-31 |
| Refresh Date | 2019-12-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 930014 | POCA.0000333 | Psychiatric Outpatient Clinic | 2008-01-01 | 2020-01-01 - 2023-12-31 | ACTIVE |
| 929991 | OPC.0000357 | Outpatient Clinic | 2009-07-01 | 2017-07-01 - 2021-06-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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. · Southwest Community Health Center, Inc. | 361 Bird Street, Bridgeport, CT 06605 | Outpatient Clinic | 2012-07-01 ~ 2016-06-30 |
| Southwest Community Health Center Inc. · Roosevelt School-school Based Health Center | 680 Park Avenue, Bridgeport, CT 06604 | Outpatient Clinic | 2009-03-13 ~ 2012-12-31 |
| Southwest Community Health Center Inc. · University Residential Facility | 341 Clinton Avenue, Bridgeport, CT 06605 | Outpatient Clinic | 2000-10-01 ~ 2002-09-30 |
| Southwest Community Health Center Inc. · Clinton Street Shelter | 10-13 Clinton Avenue, Bridgeport, CT 06605 | Outpatient Clinic | 2004-04-01 ~ 2008-03-31 |
| Southwest Community Health Center Inc. · Hosanna Christian Ministries | 1416 Fairfield Avenue, Bridgeport, CT 06604 | Outpatient Clinic | ~ 2000-09-30 |
| Southwest Community Health Center Inc. · Re-entry Ministries | 204 Hollister Avenue, Bridgeport, CT 06607 | Outpatient Clinic | 2004-04-01 ~ 2008-03-31 |
| Street Address | 1046 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1116 |
| 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. | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | Outpatient Clinic | 2017-07-01 ~ 2021-06-30 |
| John P Egan | 1046 Fairfield Ave, Bridgeport, CT 06600 | Notary Public Appointment | 1961-04-01 ~ 1966-03-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| 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 | Substance Abuse |
| License Type + County | Substance Abuse + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Southwest Community Health Center, Inc. | 46 Albion St, Bridgeport, CT 06605-2602 | Psychiatric Outpatient Clinic | 2017-10-01 ~ 2021-09-30 |
| Southwest Community Health Center, Inc. | 762 Lindley Street, Bridgeport, CT 06606 | Outpatient Clinic | 2018-01-18 ~ 2020-12-31 |
| Southwest Community Health Center Inc | 46 Albion St, Bridgeport, CT 06605-2602 | Public Charity | 2020-07-01 ~ 2021-06-30 |
| Southwest Community Health Center, Inc. At Marina Village | 743 South Ave, Bridgeport, CT 06604-5810 | Outpatient Clinic | 2017-04-01 ~ 2021-03-31 |
| Janakshree Srinivasan | Southwest Community Health Center, Bridgeport, CT 06605 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Gary Spinner Pa | Southwest Community Health Center, Bridgeport, CT 06605-2804 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Djana F Harp | Southwest Community Health Center, Bridgeport, CT 06605-2602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Community Health Center of Wherever You Are Master's Manna | 46 N Plains Industrial Rd, Wallingford, CT 06492-2333 | Substance Abuse | 2016-10-01 ~ 2018-09-30 |
| Community Health Center Inc. · Community Health Center, Inc. | 631 Main Street, Middletown, CT 06457 | Psychiatric Outpatient Clinic | 2010-01-01 ~ 2013-12-31 |
| Norwalk Community Health Center, Inc. | 120 Connecticut Ave, Norwalk, CT 06854-1525 | Substance Abuse | 2019-01-01 ~ 2020-12-31 |
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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).