Contact Us Fill out your information below, and we’ll be in touch. We can't wait to hear from you! Name * First Name Last Name Email * Phone (###) ### #### What services are you interested in? Individual Counseling Couples Counseling Group Counseling Family Counseling School Advocacy Services LMHC Supervision Youth Emotional Support Group Preferred Start Date Please indicate the date you prefer to begin counseling services. MM DD YYYY Please indicate your preferred method of pay. Blue Cross Blue Shield Private Pay Out of Network Insurance How did you hear about us? Option 1 Option 2 Message * Please indicate the reason you are contacting us with any necessary information about your unique situation. Please note this is not an emergency service. In the event of an emergency, please call 911 or your nearest crisis team immediately. Thank you for contacting us! A representative will respond to your inquiry as soon as possible.
