Healthcare Provider Details

I. General information

NPI: 1093632986
Provider Name (Legal Business Name): TRILOGY BH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HANSEN PLZ
LYNDORA PA
16045-1610
US

IV. Provider business mailing address

300 HANSEN PLZ
LYNDORA PA
16045-1610
US

V. Phone/Fax

Practice location:
  • Phone: 877-446-6331
  • Fax:
Mailing address:
  • Phone: 877-446-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ZAVILLA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 412-969-3816