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
Phone: (330) 915-2907
Fax: (330) 915-2958
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467711580 | NPPES |
| Ohio | MEDICAID | 0215447 |
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