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Congratulations on taking the first step toward enlightenment and healing! Love Light Mental Health Counseling Services, PLLC would LOVE to assist you with attracting more LIGHT to your life!

Please take a moment to fill out this form, allowing us to gather additional information about the purpose of your therapy request. This information is crucial for both beginning the registration process and confirming your eligibility for insurance coverage, should you choose to utilize insurance. Once we receive your submission, a dedicated member of our registration team will reach out to you with the necessary next steps.

Please call 911 or go to your nearest urgent care or emergency room if you or someone you know is experiencing an imminent mental health crisis. Your safety and well-being are of utmost importance.

Therapy Across State Lines

Please be advised that your therapist must be licensed in the state that you live in. Love Light currently provides therapy to persons who live in New York and New Jersey.

Couples or Family Therapy

Please provide the following information if you are seeking Couples or Family Therapy.
Write N/A if these do not apply to you.*

Thank you for filling out this Registration Form!

Here's what to expect next:

Our Administrative Assistant will reach out to you within 4 business days to discuss the next steps. They'll guide you through the registration process and match you with a therapist who suits your preferences, as best as we can. Our office hours include Tuesdays-Fridays 9am-5:00pm.

Please also verify your insurance benefits with your insurance company as inaccurate information is sometimes relayed to us. Please note that there is no way for us to know your exact benefits until we submit and receive back the first claim.

Once everything is set, you'll have the first session with your therapist in which they will obtain further information from you to help create a plan to achieve your therapy goals and start on your journey towards growth and healing!

For any questions or concerns, feel free to reach out to us at We are here to support you at every step of your journey. Thank you for considering our services. We look forward to assisting you on your path to positive change and growth!

Kind Regards,
The Love Light Team
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