If you would like to schedule an appointment with a health professional at The Village Life Center, please contact us at (225) 385-4543.

Referral Form

If you are a provider working with an individual who needs a mental health referral, please complete the form below.

Appointments and Referrals

The professional, caring counselors and therapists at The Village Life Center are here to help children and families deal with the symptoms of mental, behavioral, and emotional distress. Mental health experts can help you and your family cope with difficult situations and discover ways to move forward with a happier, healthier life.

The First Step is to Reach Out

If you or a loved one is in need of assistance, please don’t hesitate to contact us. The Village Life Center staff is happy to:

  • Provide information about the services we provide
  • Answer your questions about mental illness
  • Help you schedule an appointment with the right mental health specialist
  • Offer you additional community resources

Referring Providers

Our goal is to work hand-in-hand with community providers to provide the most appropriate services to our clients. If you are a provider and would like to make a referral, please complete the Online Provider Referral Form, located on the side of this page. You may also choose to download and print our form and fax it to us at (866) 825-9703.