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General NPI Number Information
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NPI Number | 1235437138
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Entity Type | Organization
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Legal Business Name | NECCO, LLC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 178 PRIVATE ROAD 19423
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City | SOUTH POINT
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State | OH
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Zip | 45680-8831
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Country | US
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Telephone | 740-263-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 1404 RACE ST STE 302
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City | CINCINNATI
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State | OH
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Zip | 45202-7366
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Country | US
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Telephone | 513-381-1531
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Fax |
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Authorized Official
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Title or Position | CONTRACTS AND LICENSING SPECIALIST
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Name | BONNIE L LOGAN
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Credential | MSW
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Telephone | 513-440-5791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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