Name *

 Adult
Child
 Adolescent
Family
Couples
Date of Birth *
Email*
Phone Number *
Who Is Your Primary Insurance Carrier? *
Please Select One
  •  Optum Behavioral Health
  •  BCBS TN
  •  OptumHealth Behavioral Solutions
  •  United Healthcare, Medicaid
  •  United Healthcare, Commercial
  •  Magellan Behavioral Health
  •  Wellpoint, Medicaid (Previously Amerigroup)
  •  Compsych
  •  VA CCN Optum
  •  Ambetter TN
  •  Self-Pay
  •  Employee Assistance Program (EAP)
  •  Other
Which Therapist Are You Requesting? *
Please Select One
  •  Tammy Pawlak, LMFT, ACAS
  •  Cyndi Nunn, LPC-MHSP
  •  Frida Amoretti, Intern
  •  Diana Dockery, Intern
What Day's Are You Available For Therapy? *

Preferred Time
What Concerns Are You Wanting To Work On In Therapy?
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Location

Contact information

Fax: 931-386-6301

Crisis Info:

 If you or someone you know needs support now, call or text 988 or chat 988lifeline.org or go to your nearest emergency room.

Start Your Journey Today

Contact us today to book your first appointment