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 Delaney Amatrudo Sarah Barns Paige Barton Kathryn Chisholm Sheldon Clark Cara Clarkson Suzanne Davis Sara Beth Geoghegan Blake Howard Kelsy Kerr Molly Legarrea Claire Mosteller Jessi Page Katie Ploeger Evan Richardson Christa Riches Brittney Sceals Rachel Schick Rachel Sellers Matthew Teague Megan Thomas Jolene Underwood Henry Sarah Veach DeAnn Whalen Elizabeth Woods Primary Issue Seeking Counseling For * Auto-Immune + Chronic Pain Anxiety + Depression Body Image Eating Disorders + Disordered Eating Exploration of Gender or Sexual Identity Faith Transitions or Religious Trauma Family Counseling Grief + Loss Life Transitions Neurodivergent-Affirming Care Obsessions and Compulsions (OCD) Perinatal + Postpartum Relationship Counseling Trauma Recovery Other/Unspecified Type of Service Requested * Brainspotting EMDR Heart Math Internal Family Systems (IFS) Play Therapy for Children Somatic Experiencing Talk Therapy Unspecified/Other Safe and Sound Protocol 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. Brentwood (In Person) Franklin (In Person) Thompson's Station (In Person) 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 for submitting our new client inquiry form. We will be in touch soon with some potential therapists who could be good fits for your needs.
