Request a Consultation

Interested in Therapy? Let’s Connect!
Fill out the brief form below to request a consultation. We’ll review your information and reach out via email within 48 business hours to schedule your first call. We look forward to hearing from you!

Name

First Name

Last Name

Email

Phone

(###)

###

####

What services are you interested in?

Therapy Services

Individual-Women

Group-Women

Individual-Teen Girls

Group-Teen Girls

Work Support

Please let us know the name of your insurance provider so we can verify your coverage before scheduling your consultation.

Consultation date and time preferred

Helpful Tip: When filling out the form, be sure to include the days and times that work best for a 15-minute consultation. This helps us schedule your call more efficiently!

Request a Consultation

Location: Suite 320, located inside of The Healer’s Lounge

Have Questions??