Start Your Journey to Inner Peace Name * First Name Last Name Phone * (###) ### #### Email * What state do you live in? * North Carolina South Carolina What insurance do you have? * BCBS (NC only) Aetna Cigna United Healthcare Oxford Oscar Health Optum Plans Private Pay Options I'm Seeking: * Individual Counseling Couples Counseling Family Counseling I would like to... * Schedule a consultation Schedule an intake appointment Ask a few questions How should we contact you? * Email Phone What days of the week work best: * Monday Tuesday Wednesday Thursday What time of day works best? * Our earliest session is 11am, latest is 6pm, No Weekends 11am-2pm 3pm-7pm Message * Please tell us your primary concerns and feel free to ask any questions.. How did you hear about us * Psych Today Google Search Mental Health Match Good Therapy Zencare Linked In Instagram Word of Mouth Thank you, we will be in contact with you soon!