Fill Out The Form To Contact Me Contact Me Name * Name First Name First Name Last Name Last Name Phone * Email What type of counseling services are you interested in? Check all that apply. * Substance Use Disorders Grief Counseling Mental and Behavioral Health Creative Arts Counseling EMDR Hoarding Gambling Appointment Options * in person virtual Any Schedule Preference? Check all that apply. * none morning weekdays afternoon weekdays evening weekdays morning weekends afternoon weekends evening weekends What type of medical insurance do you have? * Medicaid Private Insurance None/Self Pay What is the name of your insurance? Or type none if you don't have an insurance plan or want to pay out of pocket. * What is your goal for treatment? * Submit If you are human, leave this field blank. Click Here To Book An Appointment