Let’s work together Name * First Name Last Name Email * Phone * (###) ### #### Type of Therapy * Dialectical Behavior Therapy (DBT) Anxiety and Depression (CBT) Trauma Eating Disorder Psychedelic Assisted Psychotherapy Type of Insurance * We accept only Modern Health and Lyra, others are out of network. Out of Network/Cash Pay Lyra or Modern Health ($0 cost to client) What State Are You In? * New Jersey New York Pennsylvania PSYPACT State How can we help you? * Thank you!