MR. ANTHONY EUGENE GREENIDGE AZ LISAC - 15204
NPI 1518102151
Counselor - Addiction (Substance Use Disorder) in Goodyear, AZ

Active since December 11, 2008
17446 W PAPAGO ST, GOODYEAR, AZ 85338(919) 827-6628 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Anthony Eugene Greenidge Az Lisac - 15204 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY EUGENE GREENIDGE AZ LISAC - 15204 (NPI 1518102151) is an individual addiction (substance use disorder) provider in Goodyear, Arizona, licensed in North Carolina (1322) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1518102151
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. ANTHONY EUGENE GREENIDGECredential: AZ LISAC - 15204
Location Address17446 W PAPAGO STGoodyear, AZ 85338-1903
Mailing Address17446 W Papago StGoodyear, AZ 85338-1903 · (919) 827-6628
Sole ProprietorYes
Enumeration DateDecember 11, 2008
Last NPPES UpdateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1518102151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in NC · 1322 Licensed in AZ · 15204
Also ListedCounselorTaxonomy 101Y00000X
17446 W PAPAGO ST, Goodyear, AZ 85338

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
17446 W PAPAGO ST
GOODYEAR, AZ 85338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Greenidge's NPI number?

The NPI number for Anthony Greenidge is 1518102151. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Anthony Greenidge located?

Anthony Greenidge practices at 17446 W Papago St, Goodyear, AZ 85338. The listed phone number is (919) 827-6628.

What is Anthony Greenidge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Anthony Greenidge was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.