Healthcare Provider Details

I. General information

NPI: 1194683052
Provider Name (Legal Business Name): DELLA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/12/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 BETHEL RD
COLUMBUS OH
43220-2690
US

IV. Provider business mailing address

1115 BETHEL RD
COLUMBUS OH
43220-2690
US

V. Phone/Fax

Practice location:
  • Phone: 614-289-8590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DERRICKA AGEE
Title or Position: CEO
Credential: LISW-S
Phone: 614-289-8590