Divergent Recovery LLC
Divergent Recovery LLC is a healthcare organization registered as Community/Behavioral Health Agency in Goodyear, AZ, holding Type 2 (organization) NPI 1104554864 since 2022. The authorized official on file is Garrett Deetz, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104554864 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Divergent Recovery LLC |
| Practice address | 15655 W ROOSEVELT ST STE 100, Goodyear, AZ, 85338 |
| Phone | 4803360507 |
| Enumeration date | 2022-08-10 |
| Last updated in NPPES | 2022-08-10 |
Authorized official
| Name | Garrett Deetz |
|---|---|
| Title | Owner |
| Phone | 4803360507 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Divergent Recovery LLC NPI: 1104554864 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 15655 W ROOSEVELT ST STE 100, Goodyear, AZ, 85338
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255141750 | Imagine Therapy | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Goodyear, AZ |
Verify this record
Cross-check NPI 1104554864 against the authoritative CMS record: view Divergent Recovery LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Divergent Recovery LLC?
Who is the authorized official for Divergent Recovery LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-10.