Provider Demographics
NPI:1518840834
Name:GREENHALGH-ADAM, CHLOE (LAC)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:GREENHALGH-ADAM
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 W MITCHELL DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-5519
Mailing Address - Country:US
Mailing Address - Phone:907-830-6657
Mailing Address - Fax:
Practice Address - Street 1:1716 W MITCHELL DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-5519
Practice Address - Country:US
Practice Address - Phone:907-830-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-012282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist