Organization
WILDBLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIGAR EMINZADE LMFT (PRESIDENT/PSYCHOTHERAPIST)
(909) 433-1484
Entity
Organization
Contact information
Practice address
34428 YUCAIPA BLVD # E130, YUCAIPA, CA 92399-2474
(909) 433-1484
Mailing address
34428 YUCAIPA BLVD # E130, YUCAIPA, CA 92399-2474
(909) 433-1484
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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