Full Name * Area Served * Business Name * Business Phone * Business Email * Business Website Office Hours * Address * Suite # City * State * Zip Code * Personal Phone * Personal Email * Bio * Credentials * CADC CCTP-II CEAP CFRC CRAADC CTP DO LCAC LCSW LD LMAC LPC LSCSW MA MAC MARS MD MSW NCC Ph.D PHR PLPC PsyD RD SAP Sex * Enter Gender HereMaleFemalePrefer not to respond Race * American Indian or Alaska Native Asian Black / African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White Religious Affiliation * Enter Religious HereNon ReligiousPrefer not to answerReligious AGES Seen * 0 - 8 Years old 8 - 12 Years Old 13 - 18 Years old 18 - 65 Years Old Over 65 years old Service * Enter Service HereLicensed TherapyLife Coach OnlyMedication ManagementSpiritual Counselor Only Visit Type * Enter Mode HereIn Person OnlyTelehealth OnlyIn Person and Telehealth Treatment * Acceptance and Commitment Therapy (ACT) ADT Anger Management Bio Feedback Cognative Behavioral Therapy (CBT) Cognative Processing Therapy (CPT) Couples Therapy Deep Brain Reorientation Dialectic Behavioral Therapy (DBT) Eye Movement Desensitization and Reprocessing (EMDR) Family Therapy General Therapy Integraged Treatment for Complex Trauma (ITCT) Medication Meditation Motivational Interviewing (MI) Narrative Thearpy Pet Therapy Play Thearpy Prolonged Exposure Therapy (PET) Psychodynamic Somatic Thearpy Supportive Therapy Yoga Expertise * Attention Deficit Hyperactivity Disorder (ADHD) Autism Spectrum Disorder Critical Incident Stress Management Domestic Violence Eating Disorders First Responders / Military Fit For Duty Exams Forensic Exams Grief and Loss Life Coaching Memory Issues / Dementia Mental Health Check-In Mood Disorders Parenting Skills Personaility Disorders Post Traumatic Stress Disorder (PTSD) Psychosis Sexual Trauma Spiritual / Moral Injury Substance Use TBI Trauma Women's Issues Other Service * Cash? * Do you accept cash?YesNo Pro-Bono? * Do you offer pro-bonoYesNo Sliding Scale? * Sliding Scale?YesNo Ride-a-long * Have you ever done a ride-a-long?YesNo Insurance * Aetna Anthem BC/BS Cigna EAP Elevance Frontline HealthLink Homestate Humana Lifeworks Lyra Magellan Medicaid Medicare New Directions None Optum Superbill Tricare UHC UMR VA Wellfirst Profile Image * Maximum file size: 100 MB Please upload your profile image. This image will be displayed publicly on your profile. Submit
