Contact - Strive Counseling and Consulting Services, PLLC

Appointment/Information Request

Please let us know how we can best help you. Information provided will be utilized to best match your concerns with the expertise and availability of our providers.

Name *

Email *

Phone Number

Ok to leave voicemail?

Yes
No
Please do not call

Preferred method of follow-up? *

Phone call
Text
Email

I am looking for: *

Do you have a therapist in mind? *

Preferred day/time for an appointment? *

Preferred Location *

Which do you prefer? *

In-person appointment
Telehealth (video) appointment
Either in-person or Telehealth

Anything you'd like us to know before we reach out?

SMART Group Interest

Group Interest Form

Learn More Here