Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Anthony Eugene Greenidge, AZLISAC-15204

Individual provider Counselor · NPI 1518102151

Mr. Anthony Eugene Greenidge, AZLISAC-15204 is a Counselor in Goodyear, Arizona. Practices as a sole proprietor. Licensed in Arizona and North Carolina.

Licensed in
AZ, NC
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

17446 W Papago St
Goodyear, AZ 85338-1903
Phone: (919) 827-6628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1322 (NC)
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15204 (AZ)

Record details

NPI number1518102151
Entity typeIndividual (Type 1)
GenderMale
Credentials AZLISAC-15204
Sole proprietorYes
NPI enumeratedDecember 11, 2008
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021

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