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NPI Code Detail

MEDICARE: NECCO, LLC

MEDICARE: NECCO, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
3163WP0808XPsychiatric/Mental Health Registered Nurse
42084P0800XPsychiatry Physician
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
6363A00000XPhysician Assistant
7363LP0808XPsychiatric/Mental Health Nurse Practitioner
8251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1235437138
Entity Type Code : Organization
Provider Name (Legal Business Name) : NECCO, LLC
Provider Business Mailing Address
First Line : 1404 RACE ST STE 302
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7366
Country : US
Telephone Number : 513-381-1531
Fax Number :
Provider Business Practice Location Address
First Line : 178 PRIVATE ROAD 19423
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-8831
Country : US
Telephone Number : 740-263-2626
Fax Number :
Authorized Official
Title or Position : CONTRACTS AND LICENSING SPECIALIST
Name : BONNIE L LOGAN
Credential : MSW
Telephone Number : 513-440-5791
Provider Enumeration Date : 03/02/2011
Last Update Date : 06/13/2025

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Directions to “NECCO, LLC ” Practice Location

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