# FIRESIDE COUNSELING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629580139
- **Authorized official:** MR. CHRISTOPHER GREGORY JAMES LCSW (OWNER)
- **Authorized official phone:** (520) 977-9870

## Contact information

- **Practice address:** 7300 HANOVER GREEN DR STE 300E, MECHANICSVILLE, VA 23111-1705
- **Practice address phone:** (804) 220-0036
- **Practice address fax:** (804) 597-0114
- **Mailing address:** 7300 HANOVER GREEN DR STE 300E, MECHANICSVILLE, VA 23111-1705
- **Mailing address phone:** (804) 220-0036
- **Mailing address fax:** (804) 597-0114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904009037 | VA | Yes |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 06/15/2023