Contact Dr. Raphaeli - Tamara Raphaeli

Call : (615) 358-8638 Fax : (615) 691-6222 | Email : admin@tamararaphaelipsyd.com Client Portal

Home
About Me
- About Me
- Emotion Focused Therapy
Dialectical Behavioral Therapy (DBT)
- Dialectical Behavioral Therapy (DBT)
Ketamine Assisted Psychotherapy
Assessments
Rates & Insurance
Contact

Home /
Contact Dr. Raphaeli

I would love to hear from you. Let me know how I can help you on your personal journey towards health and healing.

Name *

First

Last

Email *

Birthday (MM/DD/YYYY) *

Phone Number *

How did you hear about me? (check all that apply) *

Google / Web Search
Psychology Today Directory
I was referred by a healthcare provider
I was referred by a friend/family member

Which services are you interested in receiving? (check all that apply) *

Individual Therapy
DBT Skills Training Groups and Individual Therapy
DBT Skills Training Groups only (I already have an individual therapist)
Ketamine Assisted Psychotherapy
Online Therapy
Psychological Assessment
Other

Are you planning to utilize insurance benefits for therapy? *

Yes
No, I will be paying privately for therapy

If yes, please provide the name of your insurance company/plan.

Please give a brief description of the problem for which you are seeking treatment. *

Have you been to therapy in the last 1-3 years? *

Please list your top 1-3 goals for therapy. What are you hoping to achieve as a result of therapy? *

When is your preferred session time? Please note my 4pm and 5pm appointment slots often book up several weeks in advance, if your schedule is flexible, please check any times when you are normally available. *

Morning (10am-12pm)
Early Afternoon (12-2pm)
Late Afternoon (3pm-6pm)

Please share any other questions or concerns you have about therapy so I can be sure to address them.

PHONE

(615) 358-8638

FAX

(615) 691-6222

EMAIL

admin@tamararaphaelipsyd.com

Address

567 Cason Ln Suite C1 Murfreesboro, TN 37128

Business Information:

Dr. Tamara Raphaeli, Psy.D

ADDRESS:
567 Cason Ln Suite C1
Murfreesboro, Tennessee 37128

TELEPHONE: (615) 358-8638

FAX: (615) 691-6222

Services:

Ketamine Assisted Psychotherapy
Emotion Focused Therapy
Dialectical Behavioral Therapy (DBT)

Schedule An Appointment

Contact Me