Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

  • Client Psychotherapy Intake Form
  • Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form

Note: To download Adobe Acrobat Reader for free, Click here.

Primary Location

Address

7850 Memorial Parkway Frontage Road SW,
Huntsville, Alabama 35802

Phone

256-881-5352

Monday  

8:00 am - 6:00 pm

Tuesday  

8:00 am - 6:00 pm

Wednesday  

8:00 am - 6:00 pm

Thursday  

8:00 am - 6:00 pm

Friday  

8:00 am - 5:00 pm

Saturday  

Closed

Sunday  

Closed

Please feel free to contact Us!

!
!
!
!
!

Please do not submit any Protected Health Information (PHI).

7850 Memorial Parkway Frontage Road SW
Huntsville, Alabama 35802

256-881-5352
[email protected] 

Changela Vickers, LMFT-S, SAP [email protected]

Brandon Adair, LPC [email protected]

Lorna Bell, LPC-S [email protected]

Hannah Coleman, LMFT [email protected]

William Bledsoe, LPC [email protected]

Stephanie Myers, LMFTA  [email protected]

                                                                                  Tianna Edwards, LMFTA  [email protected]

                                                                                 Lillian Bonner-Smith, ALC [email protected]

                                                                                      Curtis Franklin, Intern  [email protected]