MEDICARE: CYTI HEALTH PROVIDERS PC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457207573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYTI HEALTH PROVIDERS PC

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR # 3-317
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6299
Country	:	US
Telephone Number	:	866-478-3978
Fax Number	:	866-473-0365

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	866-478-3978
Fax Number	:	866-473-0365

Authorized Official
Title or Position	:	OWNER/CHIEF MEDICAL OFFICER
Name	:	DANIEL J. COSTA
Credential	:
Telephone Number	:	866-478-3978

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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