Provider Demographics
NPI:1154211241
Name:LEYVA, STEFANY MARIE
Entity type:Individual
Prefix:MISS
First Name:STEFANY
Middle Name:MARIE
Last Name:LEYVA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ESTEFANIA
Other - Middle Name:MARIE
Other - Last Name:LEYVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6149 PINECREEK WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-1727
Mailing Address - Country:US
Mailing Address - Phone:916-804-8220
Mailing Address - Fax:
Practice Address - Street 1:3820 AUBURN BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2124
Practice Address - Country:US
Practice Address - Phone:916-804-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health