Healthcare Provider Details

I. General information

NPI: 1104036995
Provider Name (Legal Business Name): PAMELA ANN ECREMENT LPCC-S, IMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 DIAGONAL RD THE HOUSE OF THE LORD
AKRON OH
44320-4002
US

IV. Provider business mailing address

12322 GARNELL ST NW
MASSILLON OH
44647-9518
US

V. Phone/Fax

Practice location:
  • Phone: 330-864-9073
  • Fax: 330-864-1617
Mailing address:
  • Phone: 330-265-7936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE 0001934
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF 0000130
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: