Organization
NECCO SE, LLC
Active
Parent organization
NECCO SE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NECCO SE, LLC
Authorized official
BONNIE L LOGAN MSW (CONTRACTS AND LICENSING SPECIALIST)
(513) 440-5791
Entity
Organization
Contact information
Practice address
115 PRIVATE ROAD 977, PEDRO, OH 45659-8608
(740) 534-1386
Mailing address
1404 RACE ST STE 302, CINCINNATI, OH 45202-7366
(513) 381-1531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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