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Organization
TRILOGY HOLISTIC WELLNESS
Active
Organization
TRILOGY HOLISTIC WELLNESS
Active
Other names
Trilogy Holistic Wellness, Triology Holistic Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZIPPORAH BOLAR SR. LPC (OWNER/MANAGER)
(313) 624-6043
Entity
Organization
Contact information
Practice address
220 W CONGRESS ST FL 2, DETROIT, MI 48226-3289
(313) 908-0507
Mailing address
PO BOX 181, ROSEVILLE, MI 48066-0181
(313) 908-0507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
09/02/2022
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