Organization
FIRESIDE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA COLE LCSW (OWNER)
(865) 255-3432
Entity
Organization
Contact information
Practice address
3610 DELVERTON WAY, KNOXVILLE, TN 37912-4868
(865) 255-3432
Mailing address
3610 DELVERTON WAY, KNOXVILLE, TN 37912-4868
(865) 255-3432
(865) 312-6907
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
01/22/2022
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