Wild Bloom Wellness

NPI #1629939392 in Cornelius, North Carolina

Provider Information

NPI Number: 1629939392
Entity Type: Organization
Organization Name: Wild Bloom Wellness
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 20, 2025
Last Updated: Nov 20, 2025

Practice Location

Address: 11220 TREYNORTH DR STE A
City: Cornelius
State: North Carolina
ZIP Code: 28031-8198
Phone: (980) 272-0157

Authorized Official

Name: SUMMER MENDEZ, LCSW
Title: OWNER/ADMIN
Phone: (980) 272-0157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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