Maxine Wilborn, QMHP, CMH, MHC is a
Counselor - Mental Health based in Clear Lake Shores, Texas. Maxine Wilborn is licensed to practice in * (Not Available) (license number ) and her current practice location is
1500 Marina Bay Dr, Clear Lake Shores, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 262-2861.
NPI number for Maxine Wilborn is 1861767477 and her current mailing address is 221 Hickory Run, La Vernia, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861767477.
Healthcare Provider's Profile
Full Name | Maxine Wilborn |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1500 Marina Bay Dr, Clear Lake Shores, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861767477
- Provider Enumeration Date: 03/14/2012
- Last Update Date: 03/14/2012
Medical Identifiers
Medical identifiers for Maxine Wilborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861767477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxine Wilborn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maxine Wilborn, QMHP, CMH, MHC 221 Hickory Run, La Vernia, TX 78121-5852 Ph: (210) 262-2861 | Maxine Wilborn, QMHP, CMH, MHC 1500 Marina Bay Dr, Clear Lake Shores, TX 77565-2263 Ph: (210) 262-2861 |
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