Healthcare Provider Details

I. General information

NPI: 1912174319
Provider Name (Legal Business Name): AKRON FAMILY INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3469 FORTUNA DR
AKRON OH
44312-5281
US

IV. Provider business mailing address

3469 FORTUNA DR
AKRON OH
44312-5281
US

V. Phone/Fax

Practice location:
  • Phone: 330-644-3469
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3390
License Number StateOH

VIII. Authorized Official

Name: DR. STEVEN E. PERKINS
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 330-644-3469