Organization
NECCO, LLC
Active
Other names
Necco Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA BAUMAN (CREDENTIALING SPECIALIST)
(513) 381-1531
Entity
Organization
Contact information
Practice address
178 PRIVATE ROAD 19423, SOUTH POINT, OH 45680-8831
(740) 263-2626
Mailing address
1404 RACE ST STE 302, CINCINNATI, OH 45202-7366
(513) 381-1531
(513) 898-8244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051442
—
OH
Enumeration date
03/02/2011
Last updated
07/24/2026
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