Appointment Request | Headspace Counseling

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Take the First Step...

Please fill out the form below, and we will contact about scheduling.

First Name and Last Name*

Date of Birth

Your email*

Phone Number

Select all services you are looking for:

Therapy

ADHD Assessment

Medication Management

How would you like to receive services?*

In-person

Telehealth/virtual

Hybrid

Who is your primary insurance carrier?

Blue Cross Blue Shield

Blue Care Network (BCN)

Meridian/ Blue Cross Complete

Private Pay

Optum/United Health Care

Aetna

McLaren

Other:

What concerns are you wanting to work on in therapy?

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Address

411 W Lake Lansing Rd, Suite B 110
East Lansing, MI 48823

Notice of Privacy Practices

No Surprises Act You have the right to receive a Good Faith Estimate of what your services may cost.

Contact

517-657-3533
services@headspace-counseling.com