MEDICARE: DELLA CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1194683052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELLA CENTER

Provider Business Mailing Address
First Line	:	1115 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2690
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2690
Country	:	US
Telephone Number	:	614-289-8590
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DERRICKA AGEE
Credential	:	LISW-S
Telephone Number	:	614-289-8590

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “DELLA CENTER ” Practice Location

Language	Start Address	Practice Location

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