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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