LEADING LIGHT MENTAL HEALTH CLINIC, INC
NPI 1730862491
Clinic/Center - Mental Health (Including Community Mental Health Center) in Brockton, MA

Q: What is Leading Light Mental Health Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 09, 2023

19 RIVERSIDE AVE, BROCKTON, MA 02301(774) 220-4060 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Feb 14, 2025, Aug 9, 2023 (3 updates tracked since 2023).

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About Leading Light Mental Health Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEADING LIGHT MENTAL HEALTH CLINIC, INC (NPI 1730862491) is a healthcare organization registered as a mental health (including community mental health center) in Brockton, Massachusetts and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Brockton and lists Guan Q Ellerbe, Owner, as its authorized official.

NPPES Registry Identity

NPI1730862491

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameLEADING LIGHT MENTAL HEALTH CLINIC, INC

Location Address19 RIVERSIDE AVEBrockton, MA 02301-6898

Mailing Address500 Westgate Dr # 1006Brockton, MA 02301-1855 · (774) 220-4060

Phone(774) 220-4060

Organization SubpartNo

Authorized OfficialGuan Q EllerbeOwner · (774) 220-4060

Enumeration DateAugust 9, 2023

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1730862491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

19 RIVERSIDE AVE, Brockton, MA 02301

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Secondary Practice Location 1

Location 1500 Westgate Dr # 1006Brockton, MA 02301-1855 · Phone (774) 220-4046

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA NICOLE ELLERBE

Case Manager/Care Coordinator