Request an Appointment

Introspective Counseling

Please correct the errors described below.

Emergency Assistance

This request does not imply a therapeutic relationship. If this is an emergency, call:

Suicide Crisis Line: 988
911

NOTE: If you are NOT using insurance, please schedule here.

Existing clients can reschedule here.

Client Information

First name

Last name

Email address

Phone number

Date of Birth

State of Residence

We serve only Michigan residents

Insurance Details

Insurance Plan

We ONLY accept: Blue Cross Blue Shield (we DO NOT accept Blue Care Network or Blue Cross Complete), Aetna and McClaren Commercial **MEDICAID NOT ACCEPTED**

Insurance Member ID

Policy Holder's Name

Policy Holder's DOB

mm/dd/yyyy

Depression/Anxiety

Stress/Burnout

Motherhood/ Post Partum Issues

LGBTQ Issues

Grief

Trauma

Marital/Couples

Preferred Clinician (please choose more than one)

CLINICIANS

Tanya Bankston

Mary Barber

Bri Brown

Brittany Christopher

Tay Ford

Ebonne English

Fatrenna Graham

Felicia Moses

Annamarie Till

Coraleen Wilson

What are your goals for therapy?

Please tell us a bit about what brings you in and/or your goals for therapy

Your information will be encrypted.

Emergency Assistance

This request does not imply a therapeutic relationship. If this is an emergency, call:

Suicide Crisis Line: 988
911

Introspective Counseling, LLC

Telephone 248-242-5545
introspectivecounselingllc.com
24445 Northwestern Hwy., Ste 220, Southfield, MI, 48075, USA

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