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Counselors
HOLLI QUINN
Rebecca Bailey
Megan French
Amy Lee
KATIE McCrone
ELISE RHODES
Jason Scruggs
Tamika Tomlin
Kierstin Williams
Internship/Supervision
Affiliate Recommendations
FAQ
Please tell us about why you are seeking counseling services. It doesn't need to be super comprehensive, because this is not a hippa-compliant form; however, a little bit of information will help us match you with a counselor that best suits your needs.
*
Indicates required field
Your Name
*
First
Last
Phone Number
*
WHO IS SEEKING SERVICES?
*
SELF
CHILD (UNDER 12)
MINOR (12-17)
FOR US (COUPLES)
WHAT TIME OF DAY IS YOUR PREFERENCE?
*
MORNING
AFTERNOON
EVENING
Email
*
WHAT DAY OF THE WEEK IS YOUR PREFERENCE?
*
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
WEEKEND
PLEASE SELECT AN OFFICE PREFERENCE
*
HENDERSONVILLE
WHITE HOUSE
NO PREFERENCE
WILL YOU BE SELF-PAY OR DO YOU HAVE INSURANCE? IF INSURANCE, WHO IS YOUR PROVIDER?
*
ANY ADDITIONAL INFORMATION THAT IS NOT CONFIDENTIAL, BUT HELPFUL?
*
Submit
Home
Services
Counselors
HOLLI QUINN
Rebecca Bailey
Megan French
Amy Lee
KATIE McCrone
ELISE RHODES
Jason Scruggs
Tamika Tomlin
Kierstin Williams
Internship/Supervision
Affiliate Recommendations
FAQ