Telehealth & Contact

Telehealth

We are currently only offering virtual sessions.

Mailing Address:
444 N. Michigan Ave.
Suite 1200
Chicago, IL 60611

Contact Us

Please fill out the information below; your message is a priority to us and we will make every effort to respond within 24 hours.

Or email us at: info@mindfullifechicago.com

    First Name*

    Last Name*

    Preferred or Chosen Name (Optional)

    Pronouns (Optional)

    To support you in connecting with a culturally responsive therapist, please share your racial, ethnic and/or cultural background (Optional)

    Email*

    Phone Number*

    Preferred method of contact*
    EmailPhone

    How did you learn about us?
    Internet SearchTherapy for Black GirlsTherapy for Black MenInclusive TherapistsPsychology TodayFamily or FriendPhysicianOther

    If Other, please specify:

    Preferred Therapist*

    Insurance*

    Name on Insurance Card

    Date of Birth for Name on Insurance Card

    Insurance Member ID #

    Your Message

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    Have a question?

      First Name*

      Last Name*

      Preferred or Chosen Name (Optional)

      Pronouns (Optional)

      To support you in connecting with a culturally responsive therapist, please share your racial, ethnic and/or cultural background (Optional)

      Email*

      Phone Number*

      Preferred method of contact*
      EmailPhone

      How did you learn about us?
      Internet SearchTherapy for Black GirlsTherapy for Black MenInclusive TherapistsPsychology TodayFamily or FriendPhysicianOther

      If Other, please specify:

      Preferred Therapist*

      Insurance*

      Name on Insurance Card

      Date of Birth for Name on Insurance Card

      Insurance Member ID #

      Your Message

      We Offer Telehealth

      To help against the spread of COVID-19, our practice offers video therapy through HIPAA compliant video platforms.