Healthcare Provider Details

I. General information

NPI: 1609715150
Provider Name (Legal Business Name): ZYRA MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 RIVERSIDE DR STE 655
COLUMBUS OH
43221-4012
US

IV. Provider business mailing address

2025 RIVERSIDE DR STE 655
COLUMBUS OH
43221-4012
US

V. Phone/Fax

Practice location:
  • Phone: 617-622-5223
  • Fax: 617-622-5223
Mailing address:
  • Phone: 617-622-5223
  • Fax: 617-622-5223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIEL SIMS
Title or Position: OWNER
Credential: SIMS
Phone: 617-622-5223