| NPI | 1629939392 |
|---|---|
| Doing Business As | WILD BLOOM COUNSELING |
| Entity Type | Organization |
| Authorized Contact | SUMMER MENDEZ Owner/Admin 980-272-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2026-07-10 |