First Name *

Last Name *

Email *

Phone *

Age *

Preferred Therapist(s) *

Any available therapist
Vishal Narang, LGPC
Renee Wang, LMSW
Noah Hughes-Dunn, LGSW (they/them)
Khalilah Rasheed, LMSW
Hannah Bricker, LMSW
Brandon Brumskill, LCPC
Nicole Ziesing, LMSW
Mackenzie Speir Carter, LMSW
Katie Kaufmann
Lincoln Pratt, LMSW
Anna Ehrlich, LMSW
Casi Leisure, LGPC, (they/them)
Priscilla Martins Lamptey, LCPC
Hannah Davis, LMSW, LGSW
Sania Tildon, LMSW, (she/her)
Stephen Mann, LCPC, (he/him)
Jessica Jenkins, LCSW-C, LGSW
Mark Hollingshead, LGCP
Kimberley Ince, LGPC
Janet Svirsky, LMSW, LGSW
Chelsea Turner, LCSW-C, LCISW, (she/her/hers)
Alex Phelan, C-IAYT, E-RYT 500
Lisa Ghali, LCSW-C, LICSW
Sheila Ervin, LCSW-C, LICSW (she/her/hers)
Tanisha Sanders, LCSW-C
Simone Jacobs, LCSW-C, LICSW (she/her/hers)
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What is the best way to contact you? *

Phone

Email

What day/times are you available to meet with a therapist? *

Who is your primary insurance provider? (We are in-network with all CareFirst/BCBS plans) *

What type of appointment would you prefer? *

In Person

Telehealth

State *

If you would like to, please briefly describe your concerns. *

How did you hear about us? *

Search Engine (Google / Yahoo etc.)

Friend or Family Member

Psychology Today

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Returning Client

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Takoma Therapy Promotion

Takoma Fest

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