Triangle Wellness & Recovery PLLC

What Triangle Wellness & Recovery PLLC does

Triangle Wellness & Recovery PLLC is a physician-led, integrated mental health and addiction medicine practice founded in 2019 and headquartered in Cary, North Carolina, operating as a Professional Limited Liability Company under founder Dr. Sara Koenig, MD, MBA, a triple board-certified psychiatrist. The practice is structured around a Dual Diagnosis Intensive Outpatient Program (IOP) — described as the only licensed dual diagnosis IOP in Cary, NC — and delivers care through a proprietary, trademarked framework called the Triangle Recovery Model™. Service breadth includes psychiatric evaluation, EMDR, medication-assisted treatment (MAT), pharmacogenomic testing, ketamine-assisted psychotherapy (KAP), planned Spravato (esketamine), hormone replacement therapy (HRT), and trauma-informed adjuncts such as trauma-informed yoga and grief and loss groups.

The underlying delivery model combines in-person clinical care with Zoom-based telehealth, and the firm employs between 14 and 17 staff, including clinical and administrative personnel. The practice serves patients with co-occurring mental health and substance use disorders, with explicit outreach to the LGBTQIA+ community and families of patients, while a separate clinician-facing CE Training program extends the brand into continuing education for external behavioral health providers.

The business model is primarily fee-for-service healthcare reimbursement, accepting commercial insurance carriers including Blue Cross Blue Shield, Aetna, and Cigna, supplemented by self-pay and a low-ticket CE Training revenue stream priced at $35–$50 per session. There is no external equity funding, no disclosed debt structure, and the entity remains founder-controlled. Geographic footprint is concentrated in the Southeast US, anchored to the Cary, NC market.

Name

Triangle Wellness & Recovery PLLC

Legal name

Triangle Wellness & Recovery PLLC

Website

https://trianglewellnessandrecovery.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

Triangle Wellness & Recovery PLLC is a Cary, NC-based physician-led practice operating the area's only licensed Dual Diagnosis Intensive Outpatient Program, delivering integrated mental health, addiction, and interventional psychiatry services to patients and CE training to clinicians.

Ownership category

akta.pro rank

Product category

Integrated Mental Health and Addiction Treatment

NAICS

Outpatient Mental Health and Substance Abuse Centers (62142), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro industry

PRIMARYHLAFACAF

Outpatient Substance Use Treatment Programs (IOP/PHP/OP)

Healthcare & Life Sciences/Healthcare Providers & Systems/Behavioral Health & Substance Use Treatment

SECONDARYHLAFACAG

Medication-Assisted Treatment (MAT) & Opioid Treatment Programs (OTPs)

Healthcare & Life Sciences/Healthcare Providers & Systems/Behavioral Health & Substance Use Treatment

SECONDARYHLALAEAC

Integrated Behavioral Health (Collaborative Care) Platforms

Healthcare & Life Sciences/Telehealth Platforms/Behavioral & Mental Health Teletherapy Platforms

Keywords

• Integrated mental health care
• Dual diagnosis treatment
• Intensive outpatient program
• Addiction recovery services
• Trauma-informed therapy

Headquarters

HQ city

Cary

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Supply Chain, Others

Revenue model

1. Insurance-based clinical services: The practice accepts insurance from Blue Cross Blue Shield, Aetna, and Cigna for its Intensive Outpatient Program (IOP), individual therapy, psychiatric medication management, and other clinical services. Patients may have co-pays or deductibles depending on their plan.
2. CE Training programs: Continuing education seminars, workshops, and webinars for clinicians treating mental health and substance use disorders. Priced at $35 early registration and $50 standard, offering 2.0 contact hours approved for LCMHC, LCSW, and LCAS.
3. Self-pay services: Patients not using insurance can pay out-of-pocket for services including individual therapy, psychiatric evaluation, and specialized treatments such as ketamine-assisted psychotherapy and pharmacogenomic testing.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Triangle Wellness & Recovery PLLC delivers physician-led, integrated clinical care for addiction and co-occurring mental health conditions, anchored by the proprietary Triangle Recovery Model™. The flagship service is the Dual Diagnosis Intensive Outpatient Program (IOP) — the only licensed dual diagnosis IOP in Cary, NC — supplemented by individual/couples/family therapy, psychiatric evaluation and medication management, trauma-focused psychotherapy (EMDR), pharmacogenomic testing, medication-assisted treatment (MAT), ketamine-assisted psychotherapy (KAP), primary care integration, and gender-affirming hormone replacement therapy. Services are delivered in-person at the Cary, NC office and via Zoom-based telehealth, and the practice additionally offers paid continuing education seminars for clinicians on the Triangle Recovery Model™.

Product overview

Triangle Wellness & Recovery PLLC is a physician-led integrated mental healthcare practice offering a unified suite of services centered on the proprietary Triangle Recovery Model™ — an identity-focused framework with three components (Stabilize, Understand, Create). The flagship offering is the Dual Diagnosis Intensive Outpatient Program (IOP), the only licensed dual diagnosis IOP in Cary, NC, treating addiction and mental health together. This core program is supported by add-on services including psychiatric evaluation and medication management, trauma-focused psychotherapy (EMDR), pharmacogenomic testing, individual/couples/family therapy, integrative approaches, medication-assisted treatment (MAT), ketamine and ketamine-assisted psychotherapy (KAP), and Spravato (esketamine) coming soon. Additional services include primary care integration, hormone replacement therapy including gender-affirming HRT, and community continuing care groups (IOP Alumni, Grief and Loss, Story of You). Telehealth video sessions via Zoom extend access to all services. The practice also offers CE trainings for clinicians on the Triangle Recovery Model™.

Differentiator

Problem solved

Functional benefit

Brands

• Triangle Recovery Model™: The signature identity-focused framework for recovery developed at Triangle Wellness & Recovery PLLC, featuring three foundational components: Stabilize, Understand, Create, with identity at the core.

Products and services

• Dual Diagnosis Intensive Outpatient Program (IOP) The only licensed dual diagnosis IOP in Cary, NC, treating addiction and mental health together under one roof. Structured, evidence-based day treatment built around the Triangle Recovery Model™ with 3-5 days/week, 3 hours/session structure. Groups are led by multiple therapists with rotating modalities including CBT, DBT, ACT, art therapy, and experiential approaches.
• Psychiatric Evaluation & Medication Management Comprehensive psychiatric assessment and ongoing medication management for addiction, mood disorders, PTSD, anxiety, ADHD, and other mental health conditions.
• EMDR & Trauma-Focused Psychotherapy Eye Movement Desensitization and Reprocessing (EMDR) and other evidence-based trauma therapies delivered by trained clinicians for PTSD, complex trauma, and trauma-related addiction.
• Pharmacogenomic (Genetic) Testing A simple cheek swab that analyzes how genes metabolize psychiatric medications. Identifies which medications are likely to cause problematic side effects and which to avoid, reducing trial-and-error in finding effective treatments.
• Individual, Couples & Family Therapy Psychotherapy for individuals, couples, and families navigating mental health conditions including depression, anxiety, OCD, PTSD, addiction, and relationship strain.
• Integrative & Complementary Approaches Alternative and complementary approaches to managing psychiatric conditions including nutritional psychiatry, targeted supplements, and lifestyle-based interventions.
• Medication-Assisted Treatment (MAT) Evidence-based pharmacotherapy for opioid and alcohol use disorder, including buprenorphine (Suboxone), naltrexone (Vivitrol), and other FDA-approved treatments.
• Ketamine & Ketamine-Assisted Psychotherapy (KAP) Ketamine therapy for treatment-resistant depression and PTSD, including ketamine-assisted psychotherapy — a structured, therapeutic approach to deepen and integrate the ketamine experience.
• Primary Care Integration Integrated primary care services addressing physical health needs that frequently accompany addiction and mental health conditions, coordinated with the behavioral health team.
• Hormone Replacement Therapy (incl. Gender-Affirming HRT) HRT for menopause/perimenopause and gender-affirming hormone therapy for transgender and nonbinary patients, provided in an affirming, celebratory environment.
• IOP Alumni Group Free, ongoing 90-minute group for IOP graduates providing continued connection to the recovery community, skill building, and peer-led discussion with clinician oversight.
• Story of You Group A 90-minute creative writing group using narrative therapy techniques to explore personal experiences through storytelling and reflection, promoting insight, self-awareness, and emotional processing.
• Telehealth Services Secure video sessions with providers conducted via Zoom, available directly from phone, tablet, or computer. Allows patients to join scheduled appointments remotely.
• CE Trainings on the Triangle Recovery Model™ Continuing education seminars, workshops, courses, and non-downloadable webinars for therapists and counselors treating mental health and substance use disorders, built around the signature identity-focused Triangle Recovery Model™.
• IOP Breakout Groups Smaller, focused breakout sessions within the IOP offering deeper engagement on specific topics, led by multiple therapists with Dr. Sara Koenig personally leading twice per month.
• Trauma-Informed Yoga Trauma-Informed Yoga offered as a rotating breakout group within the IOP, providing a holistic wellness approach integrated with the recovery model.

Quantifiable outcome

• Free 15-minute consultation offered for prospective patients
• +2 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature1 record

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Emerging players

• Confidant Health: Telehealth-based addiction treatment platform combining MAT, therapy, and peer support delivered to patients' homes. Comparable to TWR's integrated MAT-plus-therapy model via remote delivery, targeting a similar patient segment.
• Ophelia Health: Telehealth MAT provider focused on opioid and alcohol use disorder with medication management and counseling. Overlaps with TWR's MAT (Suboxone/Vivitrol) and telehealth delivery, but operates virtually rather than through a physical clinic.
• Workit Health: Virtual MAT and substance use treatment platform offering buprenorphine and therapy via telehealth with digital therapeutic tools. Comparable to TWR's MAT and telehealth service lines, though delivered as a pure digital platform rather than an in-person practice.

Direct peers

• Eleanor Health: Multi-state outpatient addiction and mental health provider delivering integrated IOP, MAT, therapy, and psychiatry under one roof. Closely comparable to TWR's integrated, physician-led dual diagnosis model, though operating at a larger, multi-site scale.
• CleanSlate Outpatient Addiction Medicine: Outpatient MAT-focused addiction medicine practice with multiple clinic locations offering medication and therapy for opioid and alcohol use disorder. Comparable to TWR's MAT and integrated therapy offering, though specializing more narrowly in pharmacotherapy.
• Lionrock Recovery: Virtual intensive outpatient program for substance use disorder delivered online to individuals across multiple states. Directly comparable IOP-plus-telehealth format to TWR's IOP service, with similar evidence-based modalities.
• Charlie Health: Virtual intensive outpatient program for adolescents and adults with co-occurring mental health and substance use conditions. Directly comparable IOP-plus-telehealth model to TWR's flagship dual diagnosis IOP, scaled nationally.

Broad incumbents

• BayMark Health Services: Large network of opioid treatment programs and office-based opioid treatment providers offering MAT across North America. Overlaps with TWR's MAT service line as a scaled, multi-state incumbent with significant payer contracting leverage.
• BrightView Health: Large outpatient addiction treatment chain offering MAT, IOP, therapy, and primary care across multiple states. Operates in the same integrated outpatient SUD/MH category as TWR but as a scaled, multi-site incumbent rather than a single physician-led practice.
• Hazelden Betty Ford Foundation: National nonprofit addiction treatment organization offering residential, outpatient, IOP, and continuing care programs plus professional education curricula. Overlaps with TWR's IOP, continuing care groups, and CE training offerings, but at significantly larger institutional scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/twrnc
• LinkedInlinkedin.com/company/triangle-wellness-and-recovery
• Instagraminstagram.com/_twrnc_

Revenue estimate

Valuation estimate

Number of profiles

Profiles19 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Triangle Wellness & Recovery PLLC