Healthcare Provider Details

I. General information

NPI: 1346178183
Provider Name (Legal Business Name): FIRESIDE THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NORTH RD STE 302
CHELMSFORD MA
01824-2710
US

IV. Provider business mailing address

234 LITTLETON RD STE 1B
WESTFORD MA
01886-3530
US

V. Phone/Fax

Practice location:
  • Phone: 617-214-0932
  • Fax:
Mailing address:
  • Phone: 617-214-0932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARGARET NORA BRESNIHAN
Title or Position: OWNER
Credential: LMHC, LCPC
Phone: 617-633-7538