Kelly Counseling and Associates, LLC

1801 North Wood Avenue, Florence, AL 35630

Contact Us

New Client Information

Interested in starting counseling services?


Please complete the following form and you will be contacted within three business days regarding your benefits and/or counselor availability. We accept new clients based upon counselor availability at the time we receive your information.

If we are unable to schedule you to begin services, we will provide you will referral information for other counselors in the area.  If your preferred counselor does not have openings, we will do our best to find another counselor best suited for your needs.

If submitting this form via our mobile site, please ensure the entire form is complete and you select submit. If you do not see the entire form, select Desktop View.

If you do not have computer access, or if you prefer, contact us at 256-766-9804 Extension 6