Synergistic Body and Mind
Organization Active NPI Mental Health Counselor · San Antonio, TX
NPI 1598587263 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1598587263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Maxine NMN Wilborn, LPC, PHD
- Title
- Ceo
- Phone
- (830) 570-1967
Practitioners 2
-
Maxine Wilborn, LPC, PHD
-
Alyssa Eleana Nunez, LPC-ASSOCIATE
National Provider Directory
Locations
1603 Babcock Rd
Ste 2385
San Antonio, TX 78229
Phone (210) 326-5454
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
1603 Babcock Rd Ste 238-5
San Antonio, TX 78229-4708
Mailing address
221 Hickory Run
La Vernia, TX 78121-4584
Phone (830) 570-1967
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All providers in San Antonio, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.