MALLORY SIMS TYRE LMFT
NPI 1679089320
Marriage & Family Therapist in Valdosta, GA

Q: What is Mallory Tyre's NPI number?

The NPI number for Mallory Tyre is 1679089320. It was assigned to this individual provider in the NPPES registry on December 18, 2017. The provider is also known as Mallory Marie Sims Lmft.

Q: What is Mallory Tyre's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Tyre was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 18, 2017PECOS Enrolled

3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602(229) 671-6170 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 9, 2026, Dec 18, 2017 (2 updates tracked since 2017).

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About Mallory Sims Tyre Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY SIMS TYRE LMFT (NPI 1679089320) is an individual marriage & family therapist in Valdosta, Georgia, licensed in Georgia (MFT001575) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679089320

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMALLORY SIMS TYRECredential: LMFT

Location Address3120 N OAK STREET EXT STE BValdosta, GA 31602-5910

Mailing Address3120 N Oak Street Ext Ste BValdosta, GA 31602-5910 · (229) 671-6170

Phone(229) 671-6170

Sole ProprietorNo

Enumeration DateDecember 18, 2017

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1679089320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in GA · MFT001575

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3120 N OAK STREET EXT STE B, Valdosta, GA 31602

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Other Names 1

Former Name (1)Mallory Marie Sims Lmft

Other Identifiers 1

OtherMFT001575GA · Licensed Marriage And Family Therapist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Sims Tyre Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN GAYLE GOIN LPC

Counselor (Mental Health)