Healthcare Provider Details

I. General information

NPI: 1215863444
Provider Name (Legal Business Name): REIMAGINE RECOVERY SOLUTIONS, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E BELL RD STE 2-229
PHOENIX AZ
85022-2397
US

IV. Provider business mailing address

610 E BELL RD STE 2-229
PHOENIX AZ
85022-2397
US

V. Phone/Fax

Practice location:
  • Phone: 602-877-1175
  • Fax:
Mailing address:
  • Phone: 602-877-1175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARISSA DILLINGER
Title or Position: MEMBER
Credential: MS, LIAC, BHP
Phone: 602-877-1175