Miles 2 Wisdom Counseling Services

Team Profile Intake Form

Complete the fields below to create or update your profile page. Your information will be reviewed before going live.

Fields marked with * are required
Section 01
Your Role
Select the option that best describes your current position.
Section 02
Basic Information
Shown directly under your name on your profile (e.g. LCMHC-S, MA, LCMHCA).
The spelled-out version displayed on your profile page.
Short descriptor shown above your name (e.g. "Counseling Intern · Miles 2 Wisdom").
Section 03
Profile Photo
Photos display as a soft-corner square on your profile. Please use a professional, clear headshot with good lighting.
Your profile photo

Preview

Your photo will be cropped to a 3:3.6 portrait ratio (matching your live profile card). Drag to reposition inside the cropper.

Position your photo

Drag to reposition · Scroll or use the slider to zoom in or out.

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Section 04
Personal Bio
Optional — displayed in a callout box on your profile.
Introduce yourself: who you are, your background, and what brought you to counseling.
Your approach to therapy, what clients can expect, and your philosophy of care.
Any additional context — areas of passion, personal experience, or closing thought.
A short first-person or third-person sentence displayed in the "Working with [Name]" section (shown in italics).
Section 05
Areas of Specialty
Check the issues and client concerns you specialize in. Add custom items below.
Add anything not listed above (one per line).
Section 06
Therapeutic Approaches
Check all that apply. Add custom approaches below if yours isn't listed.
Section 07
Education & Background
List each degree on its own line. Include the degree, institution, and year (e.g. "MA in Psychology — Phillips Graduate University, 2006").
List any state licenses or professional certifications (e.g. "LCMHCA — Licensed in North Carolina").
Any other experience, training, or background worth highlighting on your profile (e.g. ordained minister, military service, spiritual counseling background).
Section 08
Session Details
Section 09
Availability
Select all days you are generally available for appointments.
A short sentence shown on your profile card.
Section 10
Rates & Fees
Leave blank if rates are determined during consultation.
Sliding Scale Available
Flexible pricing based on client need
Scheduling preferences, communication style, special accommodations, or anything clients should know before booking.

Ready to Submit?

Please confirm the information below before submitting. Your profile will be reviewed by the Miles 2 Wisdom team within 2–3 business days.

Questions? Contact us at miles2wisdom@gmail.com or (910) 759-3330

Profile Submitted!

Thank you for completing your intake form. The Miles 2 Wisdom team will review your submission and reach out within 2–3 business days.