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Leslie Shaffer Hereba, MS, LMHC

Maggie McCurdy, MS, LMHC

Gillian Rose, MS, LMHC, NCC, CASAC-2

Hereba Mental Health Counseling, LMHC, PC.

124 Northern Lights Drive, Suite 30

North Syracuse, NY 13212

Phone: (315) 996-1980

Fax: (315) 996-1984

Clinical Staff:

Leslie Hereba, Extension 502

leslie@herebamentalhealthcounseling.com

Maggie McCurdy, Extension 503

maggie@herebamentalhealthcounseling.com

Gillian Rose, Extension 504

gillian@herebamentalhealthcounseling.com

Administrative Staff:

Lisa Williams, Extension 500

lisa@herebamentalhealthcounseling.com

Check out some of my inspirations on social media!

Now offering online counseling

New Client Contact Form

First Name

Last Name

Phone

What are you seeking support related to? (this should be brief, such as anxiety, stress, relationship issues etc.) This information is only used to help you match with the best therapist for your needs.

What is your scheduling availability? (Please note we try to accommodate scheduling, however evening appointments can be limited)

Daytime appointments, only

Evening appointments, only

Prefer evenings, but can be flexible

I can be flexible

Online counseling (Telehealth)

What type of insurance do you plan on using?

Cigna

Lifetime Benefit Solutions

UMR (POMCO Select - only)

Blue Cross/Blue Shield (Please answer question below regarding primary care doctor)

Excellus BC/BS (Please answer question below regarding primary care doctor)

Out-of-network or for fee service

Do you have a primary care doctor or psychiatrist that you've seen in the last year?

Yes

If using insurance as indicated above what is your ID Number and Date of Birth for benefits verification?

Anything else you would like to add?

Thanks for submitting!

124 Northern Lights Drive, Suite 30

North Syracuse, NY 13212

Phone: (315) 996-1980

Fax: (315) 996-1984