Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wild Bloom Wellness

Organization Clinical Social Worker · NPI 1629939392

Wild Bloom Wellness provides Clinical Social Worker services in Cornelius, North Carolina. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

11220 Treynorth Dr Ste A
Cornelius, NC 28031-8198
Phone: (980) 272-0157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629939392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Summer Mendez — Owner/Admin · (980) 272-0157
Other names Wild Bloom Counseling
NPI enumeratedNovember 20, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address11220 Treynorth Dr Ste A, Cornelius, NC 28031-8198

Other providers in Cornelius