Contact us.hello@newmoonrisingwellness.comPhone (text or call): 615.212.8614Fax: 615.285.8099 Name * First Name Last Name Email * Phone * (###) ### #### Who are you seeking therapy for? * Me My partner and myself Someone in my care (i.e. child, family member, etc.) Family member(s) and myself together I am not seeking therapy If you're seeking therapy for someone else, what is that person's age? Preferred Therapist * No Preference Peggy Allbritten Cara Allison Sarah Barns Kathryn Chisholm Sheldon Clark Cara Clarkson Alyssa Davis Suzanne Davis Sara Beth Geoghegan Lauren Hamrick Blake Howard Kelsy Kerr Jessi Page Evan Richardson Christa Riches Brittney Sceals Rachel Schick Rachel Sellers Bradford Talley Matthew Teague Megan Thomas Jolene Underwood Henry Sarah Veach DeAnn Whalen Elizabeth Woods Primary Issue Seeking Counseling For * Anxiety + Depression Eating Disorders + Disordered Eating Racial/BIPOC Identity Exploration Body Image Relationship Counseling Exploration of Gender or Sexual Identity Faith Transitions or Religious Trauma Family Counseling Grief + Loss Auto-Immune + Chronic Pain Neurodivergent-Affirming Care Obsessions and Compulsions (OCD) Perinatal + Postpartum Life Transitions Trauma Recovery Other/Unspecified Type of Service Requested * Brainspotting EMDR Heart Math LPC-MHSP Supervision Play Therapy for Children Somatic Experiencing Somatic Experiencing Personal Session (SE Students Only) Talk Therapy Unspecified/Other Hypnotherapy Internal Family Systems (IFS) Which type of clinician are you open to seeing? * *Sliding Scale rates available across all counselor levels Senior Counselor (session fees range from $125-160) Associate Counselor (session fees range from $110-150) Graduate Level Intern (session fees range from $20-80) Preferred Location * Please check all that apply. In Person - Franklin In Person - Brentwood Virtual Teletherapy (TN Only) Preferred Appointment Days * Please check all that apply. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Appointment Times * Please check all that apply. Morning Afternoon Evening Are there specific attributes you're looking for in a counselor (i.e. gender, race, faith, etc.)? How did you hear about us? * Thank you, someone will be in touch soon!
