Book an Appointment Our team of experienced professionals is here to give you the personalized treatment you need and deserve.To start the intake process, please fill out the form below. Vitality Counseling 208 Key Drive, Suite CMadison, MS 39110601.775.2144 – Phone601-228-4773 – Fax HOURS: 9 a.m. – 5 p.m. Monday – Thursday9 a.m. – 12 p.m. Friday First Name Last Name Email Phone What services are you interested in? Medication Management Therapy Both Medication Management & Therapy ADHD Testing Medication Management: Gracie Smith, PMHNP-BC Rachael Stout, PMHNP-BC Danielle Pugh, PMHNP-BC Rose Casano, MD First Available Date of Birth Which do you prefer? In-person Telehealth How do you prefer to be contacted? (Check all that apply.) Phone Text Email Please identify the concerns you for which you are currently seeking support: (Check all that apply) Increased appetite Decreased appetite Trouble concentrating Difficulty sleeping Excessive sleep Low motivation Isolation from others Fatigue/low energy Low self-esteem Depressed mood Tearful or crying spells Anxiety Fear Hopelessness Panic Other Any other information you feel would be important for us to know? How did you hear about Vitality Counseling? Submit