Leading Light Mental Health Clinic, INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brockton, Massachusetts
1730862491- Practice location
- 19 Riverside Ave, Brockton, MA 02301-6898
- Phone
- 774-220-4060
- Fax
- —
- Last updated
- September 17, 2025
Leading Light Mental Health Clinic, INC is a healthcare organization based in Brockton, MA. Leading Light Mental Health Clinic, INC practices in Brockton, MA. The NPI Number for Leading Light Mental Health Clinic, INC is 1730862491. The current practice location address for Leading Light Mental Health Clinic, INC is 19 Riverside Ave, Brockton, MA 02301-6898 and can be reached out via phone at 774-220-4060.
Provider Profile Details
- NPI Number
- 1730862491
- Provider Name
- Leading Light Mental Health Clinic, INC
- Provider Entity Type
- Organization
- Address
- 19 Riverside Ave, Brockton, MA 02301-6898
- Phone Number
- 774-220-4060
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Dr. Guan Q Ellerbe, LSW, LMHC, PSYD · Owner · 774-220-4060
- Provider Enumeration Date
- August 9, 2023
- Last Update Date
- September 17, 2025
- Certification Date
- September 17, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Riverside Ave
Brockton, MA 02301-6898 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-6898
- Phone Number
- 774-220-4060
Provider Business Mailing Address Details
- Address
- 500 Westgate Dr # 1006
Brockton, MA 02301-1855 - City
- Brockton
- State
- MA
- Zip
- 02301-1855
- Phone Number
- 774-220-4060
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (4)
- Community/Behavioral Health · 251S00000X
- Taxonomy (5)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (6)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Taxonomy (7)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leading Light Mental Health Clinic, INC?
The NPI number of Leading Light Mental Health Clinic, INC is 1730862491. It was assigned on August 9, 2023 and is currently active in the NPPES registry.
What is the specialty of Leading Light Mental Health Clinic, INC?
Leading Light Mental Health Clinic, INC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Leading Light Mental Health Clinic, INC practice?
The practice location is 19 Riverside Ave, Brockton, MA 02301-6898. The office can be reached at 774-220-4060 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730862491 directly on the NPPES registry website.