Add Your Therapist Listing

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Good job!

You’ve completed Step One. Let’s continue the process.

Now that you’ve registered your username and account, complete your listing by entering your therapist information below. Note: You’re able to save your listing and finish it when you’re ready to submit.

Add Your Listing Now

About You

Full Name
*

Mental Health Role
*

Business or Practice Name

View Count

Add Photos To Your Profile



Upload Preview Image


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No Images


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Contact Information

Phone
*

Email

Website

Social Info

Where Are You Located

Area In Louisville
*

Address

Zip/Post Code
*









More About You

Description (Tell Us About You)
*



Accepting New Clients




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Offering Virtual Sessions




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Your Qualifications

Credentials
*






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License Number

This is required for your listing be approved.
License Expiration

Adding your license to make it simple to verify you.
School Attended
*

Year Graduated
*

Upload License






Drop files here or

Allowed file types: .*
Supervisor Name

*Only complete if you’re prelicensed.
Supervisor License

*Only complete if you’re Prelicensed.
Certificate

Certificate Date

Other Credentials

Example: Organization memberships, etc.

Your Therapy Practices

Specialty
*

Your Areas of Interest
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Session Format
*








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Age Specialty










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Billing and Insurance Accepted

Price Range



Cost Per Session

Select Price Range | Ex. $50 – 120
Sliding Scale


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Insurance Types Accepted
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Other Info

How did you hear about us?

What are you most interested in from your membership?












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*


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