| Leading Light Mental Health Clinic | |
|
74 Plain Street Unit D/e Brockton MA 02301 | |
| (774) 428-6157 | |
| Not Available |
| Full Name | Leading Light Mental Health Clinic |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 74 Plain Street, Brockton, Massachusetts |
| Authorized Official Name and Position | Guan Ellerbe (OWNER) |
| Authorized Official Contact | 7744286157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Light Mental Health Clinic 74 Plain Street Unit D/e Brockton MA 02301 Ph: (774) 428-6157 | Leading Light Mental Health Clinic 74 Plain Street Unit D/e Brockton MA 02301 Ph: (774) 428-6157 |
| NPI Number | 1730862491 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730862491 | NPI | - | NPPES |
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