Healthcare Provider Details

I. General information

NPI: 1790618007
Provider Name (Legal Business Name): TYLA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E VAN BUREN ST
PHOENIX AZ
85006-3742
US

IV. Provider business mailing address

19801 N 59TH AVE UNIT 11706
GLENDALE AZ
85318-5070
US

V. Phone/Fax

Practice location:
  • Phone: 623-308-2472
  • Fax:
Mailing address:
  • Phone: 623-308-2472
  • Fax: 623-218-9061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN ZAHAROPOULOS III
Title or Position: OWNER
Credential: DO
Phone: 623-308-2472