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DIVERGENT RECOVERY LLC
NPI 1104554864
Community/Behavioral Health in Goodyear, AZ

Active since August 10, 2022
15655 W ROOSEVELT ST STE 100, GOODYEAR, AZ 85338(480) 336-0507 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divergent Recovery Llc NPPES

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

DIVERGENT RECOVERY LLC (NPI 1104554864) is a healthcare organization registered as a community/behavioral health in Goodyear, Arizona and active in the NPI registry since August 2022. The organization lists Garrett Deetz, Owner, as its authorized official.

NPPES Registry Identity

NPI1104554864
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDIVERGENT RECOVERY LLC
Location Address15655 W ROOSEVELT ST STE 100Goodyear, AZ 85338-9311
Mailing Address8140 W Mission LnPeoria, AZ 85345-4829 · (480) 336-0507
Phone(480) 336-0507
Organization SubpartNo
Authorized OfficialGarrett DeetzOwner · (480) 336-0507
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1104554864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
15655 W ROOSEVELT ST STE 100, Goodyear, AZ 85338
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Other Providers at the Same Location NPPES

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

IMAGINE THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
15655 W ROOSEVELT ST STE 100
GOODYEAR, AZ 85338
Maricopa County (623) 337-2275

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 Divergent Recovery LLC's NPI number?

The NPI number for Divergent Recovery LLC is 1104554864. It was assigned to this organization in the NPPES registry on August 10, 2022.

Where is Divergent Recovery LLC located?

Divergent Recovery LLC is located at 15655 W Roosevelt St Ste 100, Goodyear, AZ 85338. The listed phone number is (480) 336-0507.

What is Divergent Recovery LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Divergent Recovery LLC was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.