Section Title
Please Specify Your Title
Please specify your title
Mental Health Therapist
What Is Your Profession?
What is Your Profession?
Licensed Mental Health Provider
What Is Your State License Number?
What is your State License Number?
6401015434
What Are Your Specialty Areas?
What are your specialty areas?
Anxiety, Depression, Trauma and Sexual Health
Do You Offer Free Consultation?
Do you offer a free consultation?
Yes
Do You Have Experience And/Or Trained To Work With The LGBTQ+ Community?
Do you have experience and/or trained to work with the LGBTQ+ community?
Yes
Average Fee Per Session
Average Fee Per Session
80-120
Client Age
Client Age
Children (6-10), Pre-Teens (11-13), Teenagers (14-19), Adults
Address
Address
5180 Kalamazoo st se Suite 2 Kentwood, MI 49508
Phone Number
Phone
Email Address
Email
Website
Website
Social Media
Preferred Pronouns
Preferred Pronouns
She/Her/Hers
Which Ethnicity Do You Identify As?
Which ethnicity do you identify as?
African-American
How Would You Describe Your Gender?
How would you describe your gender?
Female
Do You Have a Religious Affiliation?
Do you have a religious affiliation?
Spiritual
What Languages Do You Speak?
What languages do you speak?
English
What Type of Insurances Do YouAccept?
What type of insurances do you accept?
Blue Cross Blue Shield, Blue Cross Complete, Anthem ( Georgia), United Health, Cigna
How Are You Providing Mental Health Services?
How are you providing mental health services?
Virtual Services, In-Person Services
Statement to Client
Statement to Client