Ebert, Pamela

Ebert, Pamela is an sole proprietor health care provider with primary practice located at 4522 Fulton Dr Nw , Canton OH 44718-2332. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ebert, Pamela can be contacted via phone (330) 915-2907.

Contact Information

Primary practice address
4522 Fulton Dr Nw Canton OH 44718-2332
Fax: (330) 915-2958
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1700159-SUPV Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.1700159-SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1700159-SUPV Ohio

Profile Details

NPI number 1467711580
LBN Legal business name Ebert, Pamela
Credentials LPCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2012
Last updated Jan 20th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467711580 NPPES
Ohio MEDICAID 0215447

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