Our Office:
140 Mid South Loop
Haughton, LA, 71037

Counseling Hours:
Monday - Wednesday: 8:00 AM - 3:30 PM
Thursday: Closed
Friday: 9:00 AM - 8:00 PM

Please fill out the form below to schedule your counseling appointment.

Full Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Email Address

Marital Status

Names & Ages of Children

Reason for Seeking Counsel

Type of counseling desired:

Individual Counseling

Couples Counseling

Family Counseling

Mighty Moms

Are you a member of a church? If so, which one?

Please list a day and time preferable for your counseling session(s).

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