Contact Please email or call to schedule a consultation or to ask any questions you may have about therapy. I look forward to connecting and exploring whether we may be a good fit for working together. (516) 244-8368 [email protected] 30 Hempstead Ave Suite 150, Rockville Centre, NY 11570 SETUP APPOINTMENT We will try our best to return all inquiries within 24-48 hours. Looking for In-Person Therapy or Telehealth (Virtual)(Required)Choose oneIn-PersonTelehealth (Virtual)Name(Required) First Last Preferred PronounPhone(Required)Email(Required) Date of Birth MM slash DD slash YYYY Method of Payment(Required)Choose oneInsuranceCashCheckVenmo/ZelleWho is your insurance provider?(Required)What is your MEMBER ID for your insurance?(Required)File (Optional)Max. file size: 8 MB. Have you ever been admitted for inpatient psychiatric care?(Required)Choose oneYesNoHave you ever seriously hurt yourself or attempted suicide?(Required)Choose oneYesNoAre you currently having any thoughts of harming yourself or of suicide?(Required)Choose oneYesNoHave you ever seriously hurt anyone else or are you thinking of doing so?(Required)Choose oneYesNoWhat is bringing you into therapy?(Required)i.e. what symptoms are you experiencing, what life transitions are occurring, and any other information you think is important to include, feel free to be as detailed as you'd likeHow did you hear about us?(Required)CAPTCHA Δ
