Organization
FAMILIES FIRST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHRISTOPHER HAIDER-BARDILL LPC, CPCS, CMAC (CLINICAL DIRECTOR)
(404) 541-2223
Entity
Organization
Contact information
Practice address
80 JOSEPH E LOWERY BLVD NW, ATLANTA, GA 30314-3421
(404) 853-2800
(404) 759-2751
Mailing address
80 JOSEPH E LOWERY BLVD NW, ATLANTA, GA 30314-3421
(404) 853-2800
(404) 759-2751
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
APPLIED FOR
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000494007B
—
GA
05
—
003282766A
—
GA
Enumeration date
03/14/2007
Last updated
04/22/2025
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