Mekayla Davila, LMHC

Brianna Quirk is a licensed mental health counselor in the state of New York. She attended SUNY Oneonta for her Bachelor’s degree in psychology, and went on to Adelphi University where she received her Master’s degree in Mental Health Counseling.

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Brianna has extensive experience working with children, adolescents, and adults with a variety of different struggles. Brianna is trained in cognitive behavioral therapy, and helps her clients to recognize and change harmful and unhelpful patterns of thought and behavior, implement coping skills, and set goals for the future, leading to a happier and healthier existence. She uses techniques from CBT, solution focused therapy, psychodynamic therapy, and more to tailor each client’s sessions to their individual needs.

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Brianna specializes in working with individuals from a variety of different backgrounds and mental health issues: such as anxiety, ADHD, stress, depression, trauma, school avoidance and grief/loss. She also has extensive experience working with members of
the LGBTQ+ community.

Tammy Fischer, LCSW, has been a social worker in human services for over 25 years, including nearly 10 years as an outpatient therapist. She earned her Master’s in Social Work from Aurora University of IL and is trained in evidence-based modalities including CBT, DBT, and mindfulness. Tammy is trauma-informed and skilled in Theraplay, sand tray, EFT, Motivational Interviewing, and TF-CBT. She has also provided counseling to military families at Fort McCoy, WI.

Tammy brings warmth, empathy, and an open, nonjudgmental approach to every session. She values trust, clear communication, and cultural competency. Tammy believes clients are not broken—they have the ability to empower themselves with the right tools and guidance. She collaborates with patients to set goals and supports them in building skills to navigate life’s challenges.

Using a person-centered approach, Tammy develops rapport and carefully explores each patient’s history, concerns, and goals. She creates individualized treatment plans and a supportive environment where patients feel heard, respected, and encouraged to grow at their own pace.

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

Dr. Jylia Lobanova is a board-certified psychiatrist who began her medical career in Tashkent, Uzbekistan, where she worked at the Central Psychiatric Hospital. After moving to the U.S., she completed her residency at MetroHealth Medical Center, affiliated with Case Western Reserve University. She has treated diverse populations in both inpatient and outpatient settings, including work at Portage Health Clinic in Ohio, Harris Health in Houston, and Legacy Community Health, where she focused on LGBTQ and HIV-positive patients.

Dr. Lobanova values building a trustful and respectful therapeutic relationship. She creates a welcoming space for open communication and mutual understanding, which she believes is the cornerstone of effective treatment. She is especially passionate about supporting patients from diverse cultural backgrounds and has a special interest in women’s mental health across the lifespan.

Dr. Lobanova takes a holistic approach to care, combining medications, psychotherapy, psychoeducation, proper nutrition, and physical activity. She partners closely with each patient to develop an individualized treatment plan tailored to their unique goals and needs, always striving to empower them in their journey toward mental wellness.

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Michelle Kotte is a board-certified Psychiatric Nurse Practitioner with over 13 years of nursing experience. She creates a warm, supportive environment and values open communication. Michelle is passionate about focusing on the whole person and tailoring care to each client’s unique needs.

Michelle’s approach is direct, collaborative, and centered on partnership. She works closely with clients to develop a personalized plan, emphasizing transparency and shared decision-making throughout treatment.

Michelle begins with an in-depth initial assessment covering physical, mental, emotional, social, and environmental well-being. She focuses on medication management, supportive therapy, and lifestyle modifications to help clients reach their goals.

Brittiny enjoys helping patients reach their full potential and helping them navigate through life, especially during difficult times. Brittiny believes in achieving high-quality work as a therapist, which means meeting an individual where they are. This looks like listening to someone, without judgment, to understand/analyze their wants and needs. This also means understanding where they are on their journey and trying to find ways in which she can assist them in reaching their goals.

Brittiny's therapeutic focus includes Cognitive Behavioral Therapy, Person-Centered Therapy, Holistic Therapy, and Mindfulness. Brittiny utilizes a collaborative and holistic approach with patients.

She's here to meet you where you are in your journey and looks forward to helping you reach your goals.

In your first session together, you and Brittiny start by getting to know each other and getting some background information. You'll then discuss what brings you to therapy and your goals, which will help you and Brittiny create a treatment plan, customized for you. Depending on the client, she might assign homework in between session. Which can include worksheets, journaling exercises, a little research on different disorders, or self-help books to help you better recognize and manage your diagnosis. However, it is always up to the client.

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