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First name
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Last name
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Email
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Phone
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Please provide some information related to what you want to work on in therapy:
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What services are you seeking?
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Individual Adult Therapy: Some insurance plans are accepted. Cash rate $150 per session.
Specialty Couples Therapy: Please note that Insurance is NOT accepted for Couples therapy. Cash rate is $250 per session with a Certified Sex and Integrative Relationship Provider.
Other
Insurance Plans Accepted: Please note for clarity around coverage and financial responsibility we recommend you contact your insurance company directly. They may ask for the National Provider ID: 1184263428 and we bill the codes 90791 and 90837.
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AETNA
ANTHEM BCBS
AMBETTER INDIANA
BCBS
CIGNA
CARELON
HORIZON BCBS OF NJ
OSCAR
QUEST BEHAVIORAL HEALTH
UNITED HEALTH CARE
I do not have insurance and will be paying cash.
Other
What therapist are you interested in working with?
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What days and times would you prefer for ongoing therapy sessions?
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What state will you be physically located in while participating in therapy sessions?
Arizona
Indiana
Illinois
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