Name(Required) First Last Email(Required) PhoneWhat services are you interested in(Required) Couples Counseling Individual Partner Counseling Pre-Marital Counseling Venue Preference(Required) In-Person Only Virtual Sessions Only Either Hybrid What State do you Live in? (Required by Licensing Laws)(Required)VirginiaCaliforniaFloridaMarylandNorth CarolinaSouth CarolinaWashington DCWest VirginiaBy law, you must either live in the state your therapist is licensed in OR drive to the office your therapist works in.(Required) I will only choose a therapist licensed in the state I live in OR...I live right on the border of a state where you are licensed and will drive to the office Which Virginia office are you interested in?(Required) Doesn't Matter (virtual only) Alexandria Arlington Charlottesville Fairfax Leesburg McLean Midlothian Reston Short Pump Which Maryland office are you interested in?(Required) Doesn't Matter (virtual only) Bethesda Columbia Frederick Rockville Which North Carolina office are you interested in?(Required) Doesn't Matter (virtual only) Cary Charlotte Wilmington Which DC office are you interested in?(Required) Doesn't Matter (virtual only) Which Florida office are you interested in?(Required) Doesn't Matter (virtual only) Winter Park Which South Carolina office are you interested in?(Required) Doesn't Matter (virtual only) Charleston Mt. Pleasant Which West Virginia option are you interested in?(Required) Frederick Leesburg Which California office are you interested in?(Required) Doesn't Matter (virtual only) Los Angeles Santa Monica Which Therapist licensed in Virginia are you looking to schedule with for Virtual(Required)Alex Honigman (virtual only)Alexandra UrbanDave WoodenElizabeth StevensErin ThompsonGabrielle de MarcoGlen DenlingerHeidi LindorfHolly WillardKelly WalkerKelly WilliamsonMary BakerMary Rainer-SkalaMelece MeservyMegan GregoryMichael BorashMichael FronceNicole StoneDr. Paul BirchQuintin TalleyRandi KofskyRebecca KassabianRebecca StevensonSharon HamiltonValerie PattonVictoria IpsenVictoria WhitfieldWhich Therapist licensed in Virginia are you looking to schedule with in Alexandria(Required)Alex Honigman (virtual only)Dave WoodenGabrielle de MarcoKelly WilliamsonVictoria WhitfieldWhich Therapist licensed in Virginia are you looking to schedule with in Arlington(Required)Dave WoodenHolly WillardKelly WilliamsonWhich Therapist licensed in Virginia are you looking to schedule with in Charlottesville(Required)Glen DenlingerWhich Therapist licensed in Virginia are you looking to schedule with in Fairfax(Required)Alex Honigman (virtual only)Gabrielle de MarcoGlen Denlinger (virtual only)Heidi LindorfKelly WalkerDr. Marc PatienceMary BakerMichael BorashDr. Paul BirchQuintin TalleyRebecca Kassabian (virtual only)Rebecca StevensonValerie PattonVictoria WhitfieldWhich Therapist licensed in Virginia are you looking to schedule with in Leesburg(Required)Alexandra UrbanMary Rainer-SkalaSharon HamiltonWhich Therapist licensed in Virginia are you looking to schedule with in McLean(Required)Holly WillardWhich Therapist licensed in Virginia are you looking to schedule with in Midlothian(Required)Michael FronceVictoria IpsenWhich Therapist licensed in Virginia are you looking to schedule with in Reston(Required)Elizabeth StevensRebecca KassabianWhich Therapist licensed in Virginia are you looking to schedule with in Short Pump(Required)Melece MeservyMichael FronceVictoria IpsenWhich Therapist licensed in Maryland are you looking to schedule with for Virtual?(Required)Alex Honigman (virtual only)Ellen SingerJessica CoreyDr. Leigh BeckLisa LavittMegan Gregory (virtual only)Nick LoveQuintin TalleyWhich Therapist licensed in Maryland are you looking to schedule with in Bethesda(Required)Kate ShepardQuintin TalleyWhich Therapist licensed in Maryland are you looking to schedule with in Columbia(Required)Dr. Leigh BeckNick Love (virtual only)Which Therapist licensed in Maryland are you looking to schedule with in Frederick(Required)Jessica CoreyLisa LavittWhich Therapist licensed in Maryland are you looking to schedule with in Rockville(Required)Kate ShepardNick Love (virtual only)Which Therapist licensed in North Carolina are you looking to schedule with for Virtual Only(Required)Chae KwakErin ThompsonMegan GregoryNicole StoneDr. Paul BirchWhich Therapist licensed in North Carolina are you looking to schedule with in Cary(Required)Nicole StoneWhich Therapist licensed in North Carolina are you looking to schedule with in Charlotte(Required)Erin ThompsonWhich Therapist licensed in North Carolina are you looking to schedule with in Wilmington(Required)Chae KwakMegan GregoryWhich Therapist licensed in DC are you looking to schedule with for Virtual only(Required)Alex Honigman (virtual only)Holly Willard (virtual only)Dr. Paul Birch (virtual only)Quintin Talley (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Virtual only(Required)Erin Thompson (virtual only)Victoria Whitfield (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Charleston(Required)Erin Thompson (virtual only)Victoria Whitfield (virtual only)Which Therapist licensed in South Carolina are you looking to schedule with for Mt. Pleasant(Required)Erin Thompson (virtual only)Victoria Whitfield (virtual only)Which Therapist licensed in MD are you looking to schedule with?(Required)Jessica Corey (Must drive to Frederick Office)Lisa Lavitt (Must drive to Frederick Office)Which Therapist licensed in VA are you looking to schedule with?(Required)Alexandra Urban (Must drive to Leesburg Office)Mary Rainer-Skala (Must drive to Leesburg Office)Sharon Hamilton (Must drive to Leesburg Office)Which Therapist licensed in Florida are you looking to schedule with for Virtual only(Required)Alex Honigman (virtual only)Glen Denlinger (virtual only)Valerie Patton (virtual only)Which Therapist licensed in Florida are you looking to schedule with for Virtual only(Required)Alex Honigman (virtual only)Glen Denlinger (virtual only)Valerie Patton (virtual only)Which Therapist licensed in California are you looking to schedule with for Virtual only(Required)Alex Honigman (virtual only)Randi KofskySara LoughlinWhich Therapist licensed in California are you looking to schedule with in Los Angeles(Required)Sara LoughlinAlex Honigman (virtual only)Which Therapist licensed in California are you looking to schedule with in Pasadena(Required)Alex Honigman (virtual only)Randi Kofsky (virtual only)Sara Loughlin (virtual only)Which Therapist licensed in California are you looking to schedule with in Santa Monica(Required)Randi KofskyAlex Honigman (virtual only)We are not "in-network" with health insurance companies. Are you aware that you will pay out-of-pocket for our services?(Required) Yes, I understand I will pay out-of-pocket and some reimbursement may or may not be possible No, I'd like to learn more about your fees & insurance reimbursement policy Please click here to visit our fees and insurance page. This should help answer your questions about costs and reimbursement options. Knowing that we do not accept in-network insurance is required before scheduling or talking with someone. We require a deposit of our hourly rate (refundable until 48 hrs before appointment/minus a small admin fee if canceled) to lock in your appointment(Required) Yes, I understand if the therapist accepts my appointment request they will charge the deposit No, I'd like to learn more about your fees & insurance deposit policy Please click here to visit our fees and deposit page. This should help answer your questions about our deposit policy. Knowing we require a deposit to lock in your appointment is required before scheduling or talking with someone. How did you hear about us?(Required) Google search Therapist referral Current/Former client of ours Social Media Other What is the question or phrase you typed into Google that led you to us? (No worries if you don't remember)What is the name of the therapist?How did you find us?Relational Wellness Yes, when you get time to write "relational wellness" blog posts send them to me (just not too many) SMS Consent (optional) By checking this box, you consent to receive text messages from Well Marriage Center regarding your inquires or services. You may opt-out at any time by replying STOP. For Assistance text, HELP. Message and data rates may apply. Messaging frequency may vary. Visit https://www.wellmarriagecenter.com/privacy-policy/ for privacy policy and Terms of Service. Δ
