Provider Demographics
NPI:1861270795
Name:EXXCEED WELLNESS, INC.
Entity type:Organization
Organization Name:EXXCEED WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NEFRETIRI
Authorized Official - Middle Name:BARGOLA
Authorized Official - Last Name:ABAT
Authorized Official - Suffix:
Authorized Official - Credentials:JD, PMHNP-BC
Authorized Official - Phone:415-636-9700
Mailing Address - Street 1:166 GEARY ST STE 1500
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-5628
Mailing Address - Country:US
Mailing Address - Phone:415-636-9700
Mailing Address - Fax:
Practice Address - Street 1:166 GEARY ST STE 1500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-5628
Practice Address - Country:US
Practice Address - Phone:415-636-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health