Greenidge, Anthony Eugene

Greenidge, Anthony Eugene is an sole proprietor health care provider with primary practice located at 17446 W Papago St , Goodyear AZ 85338-1903. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Greenidge, Anthony Eugene can be contacted via phone (919) 827-6628.

Contact Information

Primary practice address
17446 W Papago St Goodyear AZ 85338-1903
Phone: (919) 827-6628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15204 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1322 North Carolina

Profile Details

NPI number 1518102151
LBN Legal business name Greenidge, Anthony Eugene
Credentials AZ LISAC - 15204
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2008
Last updated Sep 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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