Let’s Connect.Interested in getting started? Fill out some info and we will be in touch shortly! Name * First Name Last Name Phone (###) ### #### Email * Preferred Method of Contact Text Phone Email Insurance Anything you want us to know? * Thank You for Reaching OutYour form has been received—and we’re honored you chose Charlotte Black Therapy as a space for healing and support.Our intake team will review your information and be in touch soon to help match you with a therapist aligned with your needs and goals. In the meantime, take a breath. You’ve already taken a powerful first step.If you have any questions, feel free to reach out to us at 980-289-6278.We see you. We’re here for you. And we look forward to walking this journey with you.