Provider Demographics
NPI:1912763715
Name:EXERSTEEM INC
Entity Type:Organization
Organization Name:EXERSTEEM INC
Other - Org Name:RECLAIMING OUR WELLNESS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JANNEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-742-4539
Mailing Address - Street 1:3030 SW 122ND AVE APT 107
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5832
Mailing Address - Country:US
Mailing Address - Phone:610-742-4539
Mailing Address - Fax:
Practice Address - Street 1:3030 SW 122ND AVE APT 107
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-5832
Practice Address - Country:US
Practice Address - Phone:610-742-4539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty