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It's amazing to meet you!

I’m Mariam Arabambi, PMHNP-BC, a board-certified Psychiatric Mental Health Nurse Practitioner with over 15 years of experience in healthcare. I’m passionate about helping individuals find balance, healing, and hope through compassionate, evidence-based care. My goal is to create a safe, supportive space where you feel heard, understood, and empowered on your journey toward wellness.

Hi there, my name’s Ephraim and I'm a licensed Marriage and Family Therapist with 20+ years of experience. My specialties consist of relationships, men’s issues, career counseling, and psychosomatic illnesses.

Whether it's individuals or couples, I'm happy to get to work with whomever comes my way. I do my best to facilitate a warm, trusting environment. I received my Bachelors degree in Child Psychology, working initially with the adolescent population before transitioning over to adults. I then received my Masters in Marriage and Family Therapy. Looking forward to meeting with you soon!

The opportunity to serve clients seeking mental and behavioral health treatment is one of my life's greatest gifts. I believe in the strengths of each client, and I believe their pain, challenges, and story. Through relationship-building and a mutual exchange of information as we define and refine goals of treatment, and the use of our agreed-upon tool kit (evidence-based intervention modalities), we will engage with curiosity in a mutual exchange of information, exploring, discovering, learning, and skill building to meet treatment goals. If you know why you are here, I am here for you. If you don’t know exactly why you are here- perhaps a thought, a feeling, or experience lead you here- I am here for you. People are unique, complex, multifaceted, and deserving of care.

My path into this work didn’t come from one place—it came from a deep curiosity about what truly helps people change.

Early on, I was trained to support others through talk therapy, and I saw how powerful it could be to be witnessed, understood, and held in difficult moments. But over time, I began to notice that insight alone wasn’t always enough. People could understand their patterns, yet still feel stuck.

That led me to explore the body—how we carry emotion, how we hold tension, and how healing often requires more than words. Through movement, breath, and presence, I saw people begin to shift in ways that felt more real, more lasting.

And still, something felt incomplete.

There was a deeper layer—something connected to meaning, to transition, to the parts of us that don’t always have language. As I followed that thread, I found myself drawn to ceremonial and shamanic practices that honor the unseen and help give shape to profound inner change.

The Threshold Process grew out of this journey.

It’s the integration of everything I’ve come to trust: that real transformation happens when we engage the mind, the body, and the deeper parts of ourselves—within a space that is intentional, grounded, and safe.

I am here to listen. We all face mental health challenges at some point in our lives, and sometimes we need help reaching the other side of them. My path to this work has been a long one: I served as a first responder for 10 years and then spent more than 25 years as an emergency room nurse, with the past decade focused specifically on psychiatry in the ER. In those settings, I met people during some of the hardest moments of their lives, and I learned how much of a difference it makes to feel truly heard. Now, as a psychiatric nurse practitioner, I bring that same steadiness and compassion to helping you achieve your goals. If you have found me, chances are you have already tried everything you know and nothing has worked yet. That takes courage, and it tells me you are exactly the kind of person I can help.

You're the one people call when things fall apart. You're good at it — steady, competent, the person who knows what to do. And somewhere along the way you stopped having anywhere to put your own stuff.

So you can run the meeting, hold the crisis, answer the phone at 2 a.m. — and still not be able to make yourself open the mail. Competence and collapse live together far more often than anyone admits out loud.

I work with adults carrying that particular load: substance use and recovery, emotions that arrive at full volume with no dimmer switch, thoughts of self-harm or not wanting to be here, and the specific erosion that comes from caring for other people for a living. Helpers, clinicians, parents, first responders — people whose exhaustion doesn't have an obvious place to go. I work with teenagers too, often the ones in families like these.

My style is direct, warm, and collaborative. I'm not going to nod quietly for fifty minutes. We'll find what's actually driving things, build skills you can use on a Tuesday afternoon when it counts, and I'll tell you honestly what I'm seeing. You set the pace. I'll bring the structure.

Vincent is a multi-state Licensed Clinical Social Worker (LCSW) with a passion for delivering sexual health and trauma-informed therapy through a systems-oriented lens. Vincent strongly believes in incorporating all aspects of an individual’s identity in the journey toward healing and self-love.

I am a Psychiatric Mental Health Nurse Practitioner (PMHNP) with over 20 years of experience in behavioral health, hospice, and primary care mental health integration. Skilled in psychiatric assessment, diagnosis, treatment planning, and intervention, I have worked with diverse populations including children, seniors, veterans, incarcerated individuals, and patients with severe mental illness. I excel at integrating the biopsychosocial model to deliver patient-centered outcomes and continuity of care.