Work With Me

Name *

First Name

Last Name

Telehealth Waitlist for September 2024 *

I understand that all sessions are conducted via telehealth and that I/we must be physically in New York or Pennsylvania during each session.

Yes

Investment *

I understand that Mariah Gallagher does not accept insurance but will provide detailed receipts to submit to my insurance company for out of network reimbursement.

Yes

I am interested in: *

55 minute individual sessions ($190)

75 minute individual sessions ($250)

75 minute couples sessions ($280)

Anxious Hearts Support Group ($30)

EMDR Sessions ($190-$250)

How did you hear about Love-Life Therapy? *

Psychology Today

Google

Instagram

I attended a webinar

Referral

Other