First Name *

Last Name *

Email *

Phone *

Preferred Therapist(s) *

No Preference

Shira Berkowitz

Yankie Greenberger

Lexi Gremp

Sabrina Kinney

Select your preferred therapist, or choose multiple if you're open to working with any of them.

Session Preference *

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Only In-Person

Only Virtual

I Prefer In-Person but for the right fit I would do Virtual

I Prefer Virtual but for the right fit I would do In-Person

How can we help? *

Insurance or Private Pay *

Insurance: Aetna
Insurance: BCBS PPO
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Referral Source *

Google

Psychology Today

Professional/Therapist

Religious Leader

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