Let's Start Therapy

Adolescent and adult individuals, couples, and families experiencing trauma, anxiety, depression, substance use, adjustment disorders, and emotional issues are welcome!

Request A Session

Complete the form to request an outpatient counseling session with the best therapist for you.

After completing the form, keep an eye on your phone because we will give you a call within 24 business hours, Monday-Thursday, to confirm the details and go over next steps to begin therapy.

Please note, availability of in-person and virtual sessions varies per provider.

First Name

Last Name

Phone Number

Email Address

Client Type

Therapist Preference

Payment Method

How can we assist you?

Acknowledgement

By submitting this form, I acknowledge and agree to the privacy policy of this site. By providing a telephone number or email address and submitting the form, I am consenting to be contacted by phone call, email, and SMS text message from Whole Village Counseling (our message frequency may vary). Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. Your information will not be sold to third parties.

Let's Start Therapy

Request A Session

Phone

Email

Fax

Portsmouth

Carrollton