OrganizationActive
Fireside Therapy LLC
NPI 1336805969 · Adult Mental Health Clinic/Center · Knoxville, TN
Provider details
- NPI number
- 1336805969
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lydia Cole, Owner(865) 255-3432
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3610 Delverton Way
Knoxville, TN 37912-4868
Phone: (865) 255-3432
Approximate (ZIP-level) locationGet directions
Mailing address
3610 Delverton Way
Knoxville, TN 37912-4868
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2022-01-22
- Certified
- 2022-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.