Transforming Anxiety and Trauma through Compassionate Holistic Therapy

Online Registration Form

Online Registration Form

Start Your Therapy Journey with Love Light Mental Health Counseling Services, PLLC


Thank you for considering therapy with us. To begin, please click the button below to fill out our registration form. This form helps us understand your therapy needs and assess your insurance eligibility, if applicable. 


Completing this form is the first step towards initiating your therapy journey and ensuring we provide you with the most personalized care.


Once submitted, a dedicated member of our front office team will promptly contact you to discuss the next steps. Our online form is the fastest way to begin your path towards healing and personal growth.


For Emergencies: If you or someone you know is in immediate danger or experiencing a mental health crisis, please dial 988 or visit the nearest urgent care or emergency facility. Your safety and well-being are our highest priority.

Questions?

Our team is ready to understand your needs and answer any questions you might have. Please send us a message. A member of our team will respond via email or text within 24-72 business hours.