Synergistic Body and Mind

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SYNERGISTIC BODY AND MIND

Practice address

1603 Babcock Rd Ste 238-5
San Antonio, TX 78229-4708

Phone

(408) 903-6425

NPI assigned

Oct 24, 2024

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maxine NMN Wilborn, LPC, PHDNPI 1861767477

Title

Ceo

Phone

(830) 570-1967

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maxine Wilborn, LPC, PHD

  • Professional Counselor
  • San Antonio, TX
  • NPI 1861767477

  Mental Health

  NPD Authorized official
• Alyssa Eleana Nunez, LPC-ASSOCIATE

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1790576486
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1598587263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HICKORY RUN",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781214584",
            "telephone_number": "830-570-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BABCOCK RD STE 238-5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294708",
            "telephone_number": "408-903-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC BODY AND MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WILBORN",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "830-570-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.