SERVICE AREAS

Care that reaches you wherever you serve.

Telehealth is the whole model. You need to be physically located in a state where Zandria is licensed at the time of each session.

How a three-state practice works day to day

There is no office to drive to and no branch location in any of these states. The practice is one clinician, Zandria Hooks, LCSW, licensed separately in Texas, Maryland and Massachusetts, seeing clients across all three by secure video. Practically that means your appointment slot, your therapist and your treatment plan do not change because of where in a state you happen to live. Someone in a West Texas county with no trauma specialist within two hours gets the same hour as someone inside Route 128.

It also means scheduling is not competing with a room. Evening and around-the-shift appointments exist because there is no building that closes. For people working rotations, drill weekends or federal schedules, that is usually the difference between therapy that happens and therapy that gets rescheduled until it quietly ends.

The physical location rule, and why it exists

Clinical licenses are issued by states, and a license authorizes care for people located in that state. The controlling fact is where the client's body is during the session, not where they pay taxes, keep a mailing address or consider home. So the requirement is simple and not negotiable: you must be physically in Texas, Maryland or Massachusetts at the time of each appointment.

This is not administrative fussiness. It is what makes your care accountable to a licensing board that can actually act on your behalf, and it is what keeps your sessions billable. Guessing at it, or taking a session from a state you are only passing through, puts both at risk.

Traveling, PCS orders and moving

People in this practice move more than average, so this comes up constantly and it is workable when it is planned. Traveling inside a licensed state is nothing to think about. A trip to a state outside the three means that week's session either moves or waits, which is usually a small adjustment if it is flagged a week or two out instead of ten minutes before the call.

A permanent move is a bigger conversation. If you are relocating out of Texas, Maryland or Massachusetts, say so as early as the orders or the offer letter exist. There is normally time to consolidate the work, close it properly, and hand off rather than have care stop abruptly. A move between two of the three licensed states is not a disruption at all.

Where to start reading for your state

Each state has its own page, written for what is actually different there rather than as a copy with the name swapped. Therapy in Texas covers the distance problem, the installations across the state and the Texas license. Therapy in Maryland covers the DoD-connected and federal workforce, the commute, and what the Maryland license means for you. Therapy in Massachusetts covers a service population living mostly among civilians, the Guard and Reserve two-life problem, and hospital and campus work.

Local guides for military communities and responders

In Texas, read about online therapy for people in San Antonio and near Joint Base San Antonio, Killeen and near Fort Cavazos, and El Paso and near Fort Bliss. In Maryland, the local guides cover Fort Meade and Joint Base Andrews. Massachusetts readers can start with online therapy in Boston for first responder, veteran and military context. Every page describes online care only.

If you would rather start from the problem than the place, the specialties hub lists what is treated here, and the telehealth page explains what a session needs from your end. Coverage is on the insurance and EAP page.

Questions about state lines

Not sure whether your situation works? Ask at the free 15-minute consult.

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