Provider Demographics
NPI:1750629614
Name:LEEBORBA-HARVEY, MICHELLE (MFT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:LEEBORBA-HARVEY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:SPRAGUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:5269 VISTA HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436
Mailing Address - Country:US
Mailing Address - Phone:541-805-8139
Mailing Address - Fax:
Practice Address - Street 1:7043 DRACO DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436
Practice Address - Country:US
Practice Address - Phone:775-567-8383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-27
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01328106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist