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Organization
SYNERGISTIC BODY AND MIND
Active
Organization
SYNERGISTIC BODY AND MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXINE NMN WILBORN LPC, PHD (CEO)
(830) 570-1967
Entity
Organization
Contact information
Practice address
1603 BABCOCK RD STE 238-5, SAN ANTONIO, TX 78229-4708
(408) 903-6425
Mailing address
221 HICKORY RUN, LA VERNIA, TX 78121-4584
(830) 570-1967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
05/19/2025
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