

Headway connects Columbia residents with Aetna-covered providers across neighborhoods like Downtown, Five Points, and Glenwood. Average savings of 75% on sessions with copays ranging from $0-$40.
Hi, I'm Tierra Kinnard, LCSW, and the founder of Step by Step Healing Services, LLC. With more than 16 years of experience in the mental health field, I am passionate about helping individuals navigate life's challenges with compassion, understanding, and evidence-based care. I believe healing begins in a space where you feel safe, heard, and accepted exactly as you are. I specialize in treating Obsessive-Compulsive Disorder (OCD), Excoriation (Skin Picking Disorder), Trichotillomania (Hair Pulling Disorder), anxiety, depression, trauma, and grief and loss. Throughout my career, I have had the privilege of supporting individuals from diverse backgrounds, including members of the BIPOC and LGBTQIA+ communities. I understand the profound impact that mental health challenges can have on individuals, families, and relationships, and I am committed to helping clients build resilience, find relief, and create meaningful change
When you’re living with trauma, the effects of a brain injury, or facing difficult health or end-of-life realities, it can feel isolating and exhausting.
I help adults navigating PTSD, TBI, grief, anxiety, and end-of-life concerns feel more supported, understood, and emotionally grounded. My goal is to provide a calm space where you don’t have to carry everything alone.
I've been a provider for the Adult Brain Injury Program for many years. If you do not have insurance, please contact me for possible financial assistance for Adjustment Counseling in Missouri through this program.
Hi, I'm Shawntelle Fisher, a Licensed Clinical Social Worker (LCSW) passionate about helping children, teens, adults, and families navigate life's challenges with compassion and practical tools. I specialize in trauma, anxiety, depression, foster care and adoption, family conflict, grief, and life transitions. I offer evidence-based care tailored to your unique needs so you feel understood, supported, and hopeful about your next steps.
I believe everyone has the capacity to grow, heal, and create meaningful change in their lives. I work with adults navigating alcohol and substance abuse, trauma, depression, stress, and relationship challenges in a supportive, nonjudgmental environment where they feel safe being fully themselves.
Many of the clients I support feel emotionally exhausted, overwhelmed by stress, disconnected in relationships, or stuck in unhealthy coping patterns. My goal is to help clients better understand themselves, strengthen emotional resilience, and move toward healthier, more fulfilling lives.
I am a clinically licensed therapist who works with teens and adults. I support clients who are dealing with anxiety, ADHD, depression, emotional regulation, relationship stress, life transitions, and self esteem concerns. I aim to create a space that feels warm, genuine, and safe. I believe therapy does not have to feel intimidating to be effective, and I often use appropriate humor to help clients feel more comfortable while doing meaningful work.
I work with adolescents, adults, and couples and specialize in supporting clients facing addiction, anxiety, and depression. My goal is to help people grow through practical tools, self-awareness, and renewed hope.
I bring years of experience using evidence-based therapies to support meaningful change. Whether you’re navigating a major life shift, struggling with motivation, or working through long-standing challenges, I’m here to meet you where you are and walk alongside you as you move forward.



Headway makes it easy to get affordable in-network mental health care with Aetna — from finding the right therapist or psychiatrist, to understanding costs, to booking your first session.
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