Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Bloom Wellness

Organization Clinical Social Worker · NPI 1629939392

Wild Bloom Wellness is a Clinical Social Worker 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