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6263 Poplar Ave Suite 900

Memphis, Tn 38119

901-445-8134 (Text or Call)

admin@navigatingcouragecac.com

For any questions about our services or other related inquiries - please feel free to submit a connection form on this page.

First Name

Last Name

Email

Phone

How did you hear about us?

Provider Preference:

Dr. Justin Dodson

Andre Dodson

Mahdee Rasul

Brennan Steele

No preference

Therapy Setting:

In-person

Virtual/Telehealth

No preference

What are 2-3 of your goals for therapy?

Payment Options:

Insurance

Self-Pay

Ryan White Grant

Are you experiencing any thoughts of self-harm or suicide?

Yes

No

Not now, but recently or in the past

Thank you for reaching out! Someone from our team will respond within 24-48 business hours.

If you are experiencing a mental health crisis, please call or text 988 (National Suicide Hotline) or call 1-855-274-7471 (TN Mobile Crisis) - available 24/7. If you are experiencing a life-threatening emergency, please call 911 or go to your nearest hospital/emergency center.

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