Healthcare Provider Details

I. General information

NPI: 1477573079
Provider Name (Legal Business Name): THE FAMILY INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STATE ST SUITE 202
ERIE PA
16507-1453
US

IV. Provider business mailing address

100 STATE ST SUITE 202
ERIE PA
16507-1453
US

V. Phone/Fax

Practice location:
  • Phone: 814-480-8797
  • Fax: 814-459-2303
Mailing address:
  • Phone: 814-480-8797
  • Fax: 814-459-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DOMENICO CHIARIELLO
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 814-480-8797