LiveWell Shawnee County Therapist Finder

LiveWell Shawnee County Therapist Finder - Submission

Please complete this form to be included in our developing therapy finder tool for Shawnee County.
Practitioner Information
Practice Name*
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Provider Demographics*

ManNon-binary\non-conformingTransgenderWomanLGBTQOther
Practitioner Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Service Information
Services Type*

Alternative Medical TherapiesCognitive RehabilitationCommunity ResourcesInpatient\CrisisMedication ManagementPsychological TestingPsychotherapySpeech\Occupational Therapy
Insurance and Payment*

Ability to Pay ScaleAetnaAmbetterBlue Cross and Blue ShieldCHAMPVACignaCoreSourceFMH Benefit ServicesHumanaMagellanMedicaMedicaid (Aetna)Medicaid (Healthy Blue)Medicaid (Sunflower)Medicaid (United Optum)MedicareMedicare AdvantageMeritain HealthNo Cost ServicesOptumOut of NetworkPrivate PayProvider Care NetworkTri-CareUMRUnitedHealthVACCN
Areas of Focus*

Adjustment DisordersAdoptionAgingAgoraphobiaAlcohol MisuseAlzheimer'sAnger ManagementAntisocial PersonalityAnxietyAttachmentAttention Deficit (ADHD)Autism SpectrumBehavioral Addiction and DisordersBipolarBody DismorphiaBorderline PersonalityCareer StressCaregiver StressChild MaltreatmentChronic Issues\Medical IssuesChronic PainCodependencyCognitive DeclineCoping SkillsDepressionDevelopmental DisabilitiesDisastersDivorceDomestic ViolenceDual DiagnosisEating DisordersEmotional AbuseFamily ConflictFoster CareGrief\LossHallucinationsHoardingInfant LossInfertilityInfidelityInterpersonal ConcernsLGBTQ+Life PurposeMen's IssuesMenopauseMilitary IssuesMood DysregulationMulticultural IssuesNarcissismOCDPanic AttacksParentingPostpartumPregnancyProblematic Sexual BehaviorsRacial DiscriminationRelationship ConflictReligious TraumaSchizophreniaSecondary TramuatizationSelf-EsteemSelf-HarmingSevere and Persistent Mental HealthSex\Porn AddictionSexual AbuseSleep or InsomniaSports PerformanceSubstance Use DisordersSuicidal IdeationSuicide GriefTrauma and PTSDTrichotemnomaniaWomen's Issues
Ages Served*

Infants and Toddlers (0-2)Preschoolers (3-4)Early Elementary (5-8)Late Elementary (9-12)Early Adolescent (13-15)Late Adolescent (16-18)Young Adult (19-25)Middle Adult (26-64)Mature Adult (65+)
Additional Information
Languages Spoken

EnglishSpanishUkranianOther
Do you offer virtual visitstelehealth?

YesNo
Scheduling Availability

Weekday MorningsWeekday AfternoonsWeekday EveningsWeekend MorningsWeekend AfternoonsWeekend Evenings
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LiveWell Shawnee County Therapist Finder - Submission

Practitioner Information

Service Information

Additional Information