Thanks for reaching out.

1

Please contact us with any questions:

General Email: counseling@seacoast.org

Mt. Pleasant Office: 843-901-4459

Summerville Office: 843-901-5152

2

Rates for The Counseling Center at Seacoast.

Hourly rate per session: $125

3

Type of Counseling* This field is required.

Individual

Marriage

Couples

Family

4

Select your preferred location.* This field is required.

Mt Pleasant (Long Point)

Summerville (Nexton)

Virtual (Telehealth)

5

Name* This field is required.We cannot use or share your personal information for any purpose other than registration.

First Name

Last Name

6

Gender* This field is required.

Male

Female

Prefer not to say

7

Date of Birth* This field is required.

Date

8

Phone Number* This field is required.

Please enter a valid phone number.

9

Email* This field is required.

example@example.com

10

State of Residence

11

Additional name(Required for marriage, couples, or family counseling)

First Name

Last Name

12

Gender

Male

Female

Prefer not to say

13

Date of Birth

Date

14

Phone Number (must be a different phone number)

Please enter a valid phone number.

15

Email (must be a different email)

example@example.com

16

Reason for requesting counseling. * This field is required.