Organization Active NPI

Trilogy Holistic Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • Detroit, MI
National Provider Identifier
1154077469
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
TRILOGY HOLISTIC WELLNESS
Practice address
220 W Congress St FL 2
Detroit, MI 48226-3289
Phone
(313) 908-0507
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Zipporah Bolar Sr., LPCNPI 1245799469
Title
Owner/Manager
Phone
(313) 624-6043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Foster Care Agency 253J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

220 W Congress St FL 2
Detroit, MI 48226-3289

Mailing address

PO Box 181
Roseville, MI 48066-0181
Phone (313) 908-0507

Other names 2

  • Trilogy Holistic Wellness Doing business as
  • Triology Holistic Wellness Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zbolar@trilogyholisticwellness.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1154077469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480660181",
            "telephone_number": "313-908-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263289",
            "telephone_number": "313-908-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY HOLISTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "BOLAR",
        "authorized_official_first_name": "ZIPPORAH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "313-624-6043",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zbolar@trilogyholisticwellness.com",
            "affiliation": "N",
            "address_1": "220 W Congress St Fl 2",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482263289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trilogy Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trilogy Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triology Holistic Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.