happyvillecounseling@counselingsecure.com | (321) 272 1371
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Make an Appointment: happyvillecounseling@counselingsecure.com | (321) 272 1371
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      • Conflict Resolution
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  • Specialties
    • Anger Management
    • Cognitive Behavioral Therapy
    • Counseling for Anxiety
    • Counseling for Friends & Family of Addicts
    • Counseling for Trauma
    • Emotion-Focused Therapy
    • Grief & Bereavement Counseling
    • Life Transitions
    • Mindfulness-Based Therapy
    • Pet Loss
    • PTSD
    • Social Anxiety Disorder Counseling
    • Substance Abuse Counseling
    • Substance Abuse Evaluations
    • Therapy for Depression
    • Women’s Issues
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    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
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    • Physical Health Links
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(321) 272 1371
happyvillecounseling@counselingsecure.com

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Close menu
  • Home
  • About
    • Testimonials
  • Services
    • Couples Counseling
      • Conflict Resolution
      • Divorce Recovery Therapy
    • Family Counseling
      • Counseling for New Mothers
    • Individual Therapy
    • LGBTQIA+ Individual Therapy
    • Telehealth
  • Specialties
    • Anger Management
    • Cognitive Behavioral Therapy
    • Counseling for Anxiety
    • Counseling for Friends & Family of Addicts
    • Counseling for Trauma
    • Emotion-Focused Therapy
    • Grief & Bereavement Counseling
    • Life Transitions
    • Mindfulness-Based Therapy
    • Pet Loss
    • PTSD
    • Social Anxiety Disorder Counseling
    • Substance Abuse Counseling
    • Substance Abuse Evaluations
    • Therapy for Depression
    • Women’s Issues
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Contact
  • Blog
  • Facebook
  • LinkedIn
(321) 272 1371

happyvillecounseling@counselingsecure.com

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

  • Client Intake Form
  • Information Sheet
  • Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

  • Authorization for Release of Information

Contact Today

4865 N Wickham Rd, Suite 104
Melbourne, FL 32940

(321) 272 1371
happyvillecounseling@counselingsecure.com

Schedule An Appointment

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Need Help Finding the Office?

About Us

My practice specializes in treating individuals, couples and families, and through years of experience, I’m confident that no problem is too great to overcome.

Office Hours

Flexible hours including evenings and weekends.

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Contact Information

4865 N Wickham Rd, Suite 104
Melbourne, FL 32940

(321) 272 1371
happyvillecounseling@counselingsecure.com

Privacy Policy

A Therapist Website by Brighter Vision

I am only offering video sessions.