Theodora Longardt Bair | Atlanta, GA • PECOS Search

Theodora Longardt Bair

Counselor

Behavioral Health & Social Service Providers

2744 Peachtree Rd NW, Atlanta, GA 30305-2937

PECOS Enrollment

Based on the most recent information from CMS, provider Theodora Longardt Bair does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1326734252
Provider Type
Individual
Full Name
Bair, Theodora Longardt
Title
Mrs.
Credential
M.ED., M.S., NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/13/2023
Last Updated
4/13/2023

Contact Information

Practice Location

2744 Peachtree Rd NW, Atlanta, GA 30305-2937

Unlisted Fax

Mailing Location

2744 Peachtree Rd NW, Atlanta, GA 30305-2937

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License APC008713 Georgia