Healthcare Provider Details

I. General information

NPI: 1841081270
Provider Name (Legal Business Name): THE SORELLA CENTER FOR WOMEN & YOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 HILL RD N
PICKERINGTON OH
43147-1159
US

IV. Provider business mailing address

527 HILL RD N
PICKERINGTON OH
43147-1159
US

V. Phone/Fax

Practice location:
  • Phone: 614-733-8877
  • Fax:
Mailing address:
  • Phone: 614-733-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LOVELY SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 614-733-8877