Professionals Seeking Supervision and Consultation
Thank you for inquiring about our services at Renewed Resilience, PLLC. I am currently accepting new clients. Please complete the following form to confirm interest in beginning therapy. You will be contacted by phone within 24-48 hours of completion. If this is an emergency, please contact 988 or your local emergency services.
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Email *
Legal Full Name *
Name of Graduate School if an MSW Student. 

Type N/A if this does not apply. 
 *
License Type *
Preferred Email *
Is is safe for us to send an email to this address? *
Preferred Phone Number *
Is is safe for us to call or text this number? *
Are you located in NC or VA? We are currently only licensed to provide services in these two states. *
Renewed Resilience is an online practice. Are you okay with receiving your services via secure online video? *
Which service are you interested in? *
How did you learn about my services? *
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