Schedule an Appointment
To schedule an appointment, please complete the form below:
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone
*
Email
*
Pronouns
She/Her
He/Him
They/Them
Per/Pers
Ze/Zie
Xe/Xem
Ey/Em
Ve/Ver
Name
Insurance Provider
*
BCBS
Carelon
McLaren
BCN
BCN Advantage
Tricare
Private Pay
Aetna
Optum
Meridian
Priority
Cigna
Medicare
United Health Care
BCBS Med Adv
BCBS Complete
(We are only paneled with the insurances listed)
Presenting Concern
*
Depression
Anxiety
Mood Swings
Trauma
Relationships
Sexual Health & Function
Military / Law Enforcement
Testing & Assessment
Chronic Illness
Yoga / Other
Nutrition & Dietary Program
Adjustment & Transition
Sexuality
Gender-Based Issues
Other
Type of Appointment
*
Individual
Couple
Teen
Family
Group
15-Minute Conversation w/Provider
Provider
Ariana Castillo-Therapist
Angela Wallace-Therapist
Devan Keys-Therapist
Maha Fasihi-Therapist
Brenette Shines-Therapist
Ashley Brummett-Intern Therapist
Maia Miller Intern-Therapist
Nikhol Atkins-Yoga/Mindfulness
Stefanie McClellan-Yoga/Somatic
Shelby Banks-Nutrition
Jessica Ross-Couples Therapist
How did you hear about this?
I want to subscribe to the TCOW newsletter
Submit