# BLOOMSTATE MENTAL HEALTH, A NURSING PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023923778
- **Authorized official:** SARAH DEWOLF MSN, APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (951) 200-9734

## Contact information

- **Practice address:** 23811 WASHINGTON AVE, \#C-110 \#140, MURRIETA, CA 92562
- **Practice address phone:** (951) 200-9734
- **Mailing address:** 23811 WASHINGTON AVE, \#C-110 \#140, MURRIETA, CA 92562
- **Mailing address phone:** (951) 200-9734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2026
- **Last updated:** 08/17/2026