Request an Intake Appointment

Emergency Assistance

If this is an emergency, call:

911
Beaver County Crisis Line: (724) 731-8060
Butler County Crisis Line: (800) 295-3866
Lawrence County Crisis Line: (724) 652-9000
Mercer County Crisis Line (724) 662-2227

Client Information

First name

Last name

Contact Person Name

Please list if contact person is not client, ie, parent or care taker

Client Date of Birth

Email address

Phone number

Preferred Contact Method and Times

Please indicate how you would prefer for us to contact you. If by phone what would be the best time for us to call?

I'm a previous client

Is it ok for Angelus to leave a voicemail at contact number?

Would you like added to our monthly emailed newsletter to learn more about community resources, mental health awareness and our services and clinicians?

Insurance & Payment

Dropdown

Please choose the insurance you would be using

Insurance Member ID Number

Secondary Insurances

Please list any secondary or tertiary insurance information you may have

Let us know if you have certain days or times you need to schedule your appointments within. Check all that apply and we will try our best to accommodate. Some slots are in higher demand and can take longer to schedule for.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Mornings

Afternoons

Evenings

Which office would you like to be seen at? Check those most convenient for you, please keep in mind that there are variations of which therapists are at each location and which insurances are able to be accepted. Please reference our locations page on our website for more in detail information on each.

143 E Wallace Ave, New Castle, PA 16101

2370 N Hermitage Rd, Hermitage, PA 16148

Carrie Becker, LPC & Michelle Lombardo, LCSW

Laurel Elementary School- 223 McCaslin Rd, New Castle, PA 16101

Compass Program- Lori Krol, LPC

Laurel Jr Senior High School- 2497 Harlansburg Rd, New Castle, PA 16101

Compass Program- Lori Krol, LPC

Virtual- Online Video Based Counseling

Must be physically in the state of Pennsylvania during your appt time. Not covered by all insurances.

About Your Appointment

Reason for your visit

Additional Information for Therapist:

Please let us know any presenting issues, concerns, or areas you would like to work on in counseling so that we can match you with the best therapist to meet your needs.

How did you find our website/office today?

Please let us know how you found our office, were you referred by someone, see us on social media or find us through a google search? This will help us with coordinating your care

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Angelus Therapeutic Services Inc

Angelus has been in practice since 2009 and consists of a group of 9 licensed therapists whose specialties vary in focus and populations treated. The clearer you are regarding your reason for starting counseling the better we can match you to your ideal therapist. Our intake coordinator, Anna, is available Monday- Friday from 11 AM -3 PM to answer any questions or concerns you may have and to assist you in scheduling your intake.