Healthcare Provider Details
I. General information
NPI: 1386551067
Provider Name (Legal Business Name): VITALITAS NEUROHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 W DRY CREEK CIR STE 200
LITTLETON CO
80120-4616
US
IV. Provider business mailing address
26 W DRY CREEK CIR STE 200
LITTLETON CO
80120-4616
US
V. Phone/Fax
- Phone: 720-724-8075
- Fax:
- Phone: 720-724-8075
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVE
LANGSTON
Title or Position: PRESIDENT
Credential: MD
Phone: 720-724-8075