encountercommunitycounseling@gmail.com | (601) 613-1240
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Make an Appointment: encountercommunitycounseling@gmail.com | (601) 613-1240
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    • My Approach
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    • Cognitive Behavioral Therapy
    • Couples Counseling
    • Counseling for Friends & Family of Addicts
    • Counseling for Trauma
    • Group Psychotherapy (OPEN GROUP)
    • Grief & Bereavement Counseling
    • Individual Therapy (AXILIARY EGO)
    • Addiction Counseling
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(601) 613-1240 | encountercommunitycounseling@gmail.com

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  • Home
  • About
    • My Approach
  • Services
    • Cognitive Behavioral Therapy
    • Couples Counseling
    • Counseling for Friends & Family of Addicts
    • Counseling for Trauma
    • Group Psychotherapy (OPEN GROUP)
    • Grief & Bereavement Counseling
    • Individual Therapy (AXILIARY EGO)
    • Addiction Counseling
    • Psychodrama
    • Team Building Events
    • Telemental Health
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Events
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Contact
  • Blog
  • Behance
  • Facebook
  • Instagram
  • Twitter
(601) 613-1240

encountercommunitycounseling@gmail.com

Don't Wait to Get the Help You Need

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Client Forms

Normally everything will be filled out via the Theranest, Client Portal (electronic health records). If for some reason there is an issue with Theranest, then the following forms may be used.

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

1700 W. Government St., Building B., Suite 213
Brandon, MS 39042

(601) 613-1240
encountercommunitycounseling@gmail.com

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

Office Hours are Available by Request

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Contact Information

1700 W. Government St., Building B., Suite 213
Brandon, MS 39042

(601) 613-1240
encountercommunitycounseling@gmail.com

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