Garmis Sena, LMHC

Natalie Noyes, LPC, had a successful legal career before returning to school to earn their Master’s in Counseling from Northwestern University. They have experience working with teens, adults, and the LGBTQIA+ community, bringing a diverse and inclusive perspective to their practice.

Natalie creates a nonjudgmental and realistic environment for patients to explore their needs and growth. All identities are respected and honored in the therapeutic relationship. Patients can expect support, understanding, and collaboration as they work toward meaningful change.

Natalie uses a patient-centered approach, emphasizing the therapeutic relationship and aligning treatment plans with patient goals. Initial sessions focus on building rapport and gathering background information. Subsequent sessions are tailored to advancing goals and fostering personal growth.

Dr. Stephane Louis, LMFT, QS, earned a B.S. in Psychology and Biblical Studies from Palm Beach Atlantic University, followed by her M.S. and PhD in Marriage and Family Therapy from Nova Southeastern University. In 2020, she was featured in Forbes for her study of resilience and intersecting identities in queer women of Afro-Caribbean descent. Past roles include bilingual mental health assessor, psychology instructor at Broward College, and Student Counselor at Lynn University. As a therapist, Dr. Louis’ work has given her in-depth insight into how multiple systems and important relationships can influence the course of a person’s life.

As a queer woman of Haitian descent, Dr. Louis explores different ways the intersectionality of culture, family, identity, and sexuality can impact our lives. She is fascinated by stories of vulnerability, always looking for strengths and solutions. She helps people feel safe to be themselves and go from where they are to where they can be.

Dr. Louis provides individual, couples, and family therapy, integrating Accelerated Resolution Therapy (ART), Solution-Focused Therapy, collaborative conversations, and systemic approaches to address LGBTQ+ issues, racial trauma, cultural identity exploration, and relational wounds. Dr. Louis will meet you where you are and help you grow into the most authentic version of yourself.

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Roel Sepulveda is a board-certified psychiatric mental health nurse practitioner (PMHNP-BC) with a Master of Science in Nursing from the University of Alabama at Birmingham. Certified by the American Nurses Credentialing Center (ANCC), he has over 10 years of experience providing mental health care in psychiatric emergency rooms, outpatient psychiatry, and telehealth settings. Roel is committed to delivering comprehensive and accessible care that supports patients across diverse needs and backgrounds.

As a provider, Roel values creating a compassionate and collaborative environment where patients feel comfortable sharing their experiences. He takes a patient-centered approach, meeting individuals where they are and working together to identify treatment goals. Patients can expect a nonjudgmental space where their concerns are heard, respected, and addressed with empathy and understanding.

When working with patients, Roel begins by taking time to understand their history, symptoms, and current challenges. He develops individualized treatment plans that may include a combination of medication management, lifestyle strategies, and coordination with therapy or other supports. His goal is to provide evidence-based care while empowering patients to actively participate in their mental health journey and achieve lasting well-being.

Leslie Peck, LICSW, LCSW, earned her Master of Social Work from the University of Washington, along with a Bachelor’s in Human Services and an Associate’s in Criminal Justice. She brings over 25 years of experience across Child Welfare Systems, Department of Corrections, Community Mental Health, and Hospice. Leslie is licensed in Washington and Nevada and holds Clinical Supervision Certifications in both states.

Leslie’s style blends Acceptance and Commitment Therapy (ACT) with talk therapy. She uses ACT tools to help clients question and accept their thoughts, manage symptoms in the moment, and find relief from overwhelming feelings. Her work is trauma informed, and she provides a safe, supportive space where clients are guided toward their own insights and empowered to navigate past trauma and daily challenges.

Leslie begins by exploring family of origin history and current stressors. As therapy progresses, she introduces practical tools for symptom management, incorporating ACT strategies and Attachment Theory assessments to support healthy relationships. Sessions are client led and responsive to what feels most important. She commonly works with PTSD/CPTSD, anxiety, depression, chronic illness, ADHD, and grief.

Dr. Kirk Carruthers is a board-certified psychiatrist with experience in both outpatient and inpatient psychiatry, as well as addiction medicine. He completed his medical degree at Morehouse School of Medicine and trained at University Hospitals – Case Medical Center, where he completed general psychiatry residency and fellowships in addiction and community psychiatry. His experience includes roles in community mental health, academic teaching, and the VA system. Outside of work, he enjoys music production, soccer, spending time with loved ones, and all dogs.

Dr. Carruthers brings a casual, easygoing communication style to create a comfortable space where patients feel at ease. He emphasizes forming strong therapeutic bonds based on trust, and combines supportive therapy with medication management. He encourages collaboration with therapists and uses evidence-based treatment approaches tailored to each individual’s needs.

Dr. Carruthers begins with a thorough understanding of each patient's concerns, history, and goals. He then creates a personalized treatment plan and works collaboratively with the patient to reach their goals, adjusting care as needed for ongoing progress.

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Dr. Zezetko completed her medical training at the University of Georgia/August University Medical Partnership. While in medical school, she received a Master of Business Administration at the University of Georgia. She then moved to North Carolina to complete her psychiatric residency training at the Brody School of Medicine/ECU Health Medical Center. During her training, she gained extensive clinical experience in working with adults and veterans in psychiatric inpatient, outpatient, and emergency settings. She also served as a chief resident of the psychiatry program and published several case studies.

Dr. Zezetko relies on evidence-based treatments to guide pharmacotherapy decisions. In addition to medication management, she also incorporates supportive psychotherapy and psychodynamic psychotherapy techniques in her visits with her patients. When appropriate, Dr. Zezetko will refer patients for further psychotherapy and collaborate with therapists to provide more comprehensive care. Dr. Zezetko takes great pride in forming meaningful connections with her patients and listening to their concerns.

Dr. Zezetko will conduct a comprehensive psychiatric evaluation and take time to understand patients’ individual concerns, mental health goals, and history. Dr. Zezetko believes in building a strong therapeutic relationship that empowers patients to join in a collaborative discussion for optimizing their individual treatment plans and reaching their defined goals.

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