=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568314276
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CYTI HEALTH PROVIDERS PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1500 N GRANT ST STE N
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80203-1859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-478-3978
-----------------------------------------------------
Fax | 866-473-0365
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1930 VILLAGE CENTER CIR # 3-317
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89134-6299
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-478-3978
-----------------------------------------------------
Fax | 866-473-0365
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF MEDICAL OFFICER/OWNER
-----------------------------------------------------
Name | DANIEL J. COSTA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 866-478-3978
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------