Contact Us for Services
Please complete this form and we will get back in touch with you within 24 hours. We look forward to working with you. Thank you.
First Name
Last Name
DOB
Email
Phone Number
How did you hear about us?
Friend/Current Client/Previous Client
Social Media
Other
Psychology Today
Google
Medical Professional
What service are you interested in?
Child's therapy
Clinical supervision
Couples counseling
Family therapy
Individual therapy
Who are you making the appointment for?
Myself
My Child
Spouse/Significant other/family member
Client/patient/referral
Which therapist are you interested in working with?
Chanae Perry Tanksley, LMSW (in-person and telehealth-morning appointments)
Danielle Turner, LCSW (Clinical supervision only, not accepting clients for therapy)
Kenneth Pratt, LMSW (telehealth only)
LaToiya Robinson Henry, LMSW ( in-person and telehealth)
Lisa Miller, LMSW (in-person and telehealth)
Michell Waterman, LPCA (in-person and telehealth)
Michelle Joiner, LMSW (in-person and telehealth)
Moryam Badiru, LMSW (in-person and telehealth)
Any available therapist
Will you be using insurance
Select an option
Yes
No
Insurance
Select an option
Aetna
Anthem/Blue Cross/Blue Shield
Husky
Cigna
Self-Pay
Preferred contact
Phone
E-mail
Is there anything else you would like to add?
I want to subscribe to the mailing list.
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