Provider Demographics
NPI:1588144711
Name:LITTS, CYNTHIA (CACIII ADDICTION COU)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LITTS
Suffix:
Gender:F
Credentials:CACIII ADDICTION COU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4252 S RICHFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3282
Mailing Address - Country:US
Mailing Address - Phone:720-251-3703
Mailing Address - Fax:
Practice Address - Street 1:4252 S RICHFIELD WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3282
Practice Address - Country:US
Practice Address - Phone:720-251-3703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC0020784101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)