Healthcare Provider Details

I. General information

NPI: 1750264438
Provider Name (Legal Business Name): MELISSA R ECKROTH, LICENSED PROFESSIONAL COUNSELOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 CENTER ST
BOSWELL PA
15531-1126
US

IV. Provider business mailing address

3 AMES CT
JOHNSTOWN PA
15905-3163
US

V. Phone/Fax

Practice location:
  • Phone: 814-792-2900
  • Fax: 814-792-2900
Mailing address:
  • Phone: 814-792-2900
  • Fax: 814-792-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA R ECKROTH
Title or Position: OWNER
Credential: MS, LPC, NCC, BC-TMH
Phone: 814-254-5449