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Organization
WILD BLOOM WELLNESS
Active
Organization
WILD BLOOM WELLNESS
Active
Other names
Wild Bloom Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER MENDEZ LCSW (OWNER/ADMIN)
(980) 272-0157
Entity
Organization
Contact information
Practice address
11220 TREYNORTH DR STE A, CORNELIUS, NC 28031-8198
(980) 272-0157
Mailing address
11220 TREYNORTH DR STE A, CORNELIUS, NC 28031-8198
(980) 272-0157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
07/10/2026
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