
Carolina Counseling
Greenville, North Carolina
inspiring positive change!
- No waitlist
- 45 years of combined experience
Carolina Counseling · Greenville, NC
Our Mission

Crystal Garman, LCSW
Practice Owner
At Carolina Counseling, we provide professional counseling services for children, teens, and adults in Greenville, North Carolina. Our mission is to help individuals navigate life's challenges, improve emotional well-being, and find hope and healing through compassionate, evidence-based mental health care.
As a faith-based counseling practice, we offer the option to incorporate Christian values and beliefs into the counseling process while respecting each client's individual needs, goals, and background. Our goal is to create a safe, supportive environment where clients can grow, heal, and move forward with confidence.
Our Services · Greenville, NC
Counseling services for every stage of life

Individual Counseling
A safe, confidential space to explore your thoughts, emotions, and experiences.
Learn more
Family Counseling
Improving communication within the family so family members can learn how to resolve conflict in a healthy way.
Learn more
Couples Counseling
Helping partners enhance their relationship, from pre-marital counseling to discernment counseling.
Learn more
Christian Counseling
Integrating faith and mental health for clients who desire a biblical approach.
Learn more
Children & Teens Counseling
Support for emotional, behavioral, and developmental needs.
Learn more
Telehealth
Convenient, secure online therapy for clients across North Carolina.
Learn moreOur Team · Greenville, NC
Get to know the counselors behind your care


Tilisha Melton, LCSW
Licensed Clinical Social Worker
- Anxiety
- Depression
- Life adjustments

Kayla Marston, LMFT
Licensed Marriage and Family Therapist
- Couples therapy
- Premarital therapy
- Discernment counseling
Google reviews
What our clients say
- 5 out of 5 starsA.B.
Carolina Counseling is an amazing group of professionals serving our community in a huge way. I have known Crystal professionally for several years and have referred several patients to her for ongoing therapy. She always goes above and beyond to help her clients feel comfortable. They can help with coping skills, manage emotions, thoughts, facing fears, and so much more. I would recommend Carolina Counseling to anyone in need of these service.
A.B. · Google - 5 out of 5 starsS.C.
I cannot say enough good things about this agency! I have known Crystal and several of the therapists in her employ professionally for years now and have zero hesitation referring clients their way. My confidence comes from many factors, to start, the level of professionalism exhibited by all staff is remarkable. They clearly understand what it means to serve a population seeking assistance with matters that tend to be very sensitive and private. Next, their level of training and expertise is deep and diverse aiding their ability to assist in many domains. However, most important to me is the type of care given to their clients which is beyond refute. They ensure that their clients feel seen, heard, understood, and respected and that they receive the treatment that best meets their needs and that speaks volumes.
S.C. · Google - 5 out of 5 starsJ.K.
Carolina Counseling has been wonderful to work with. They provide a warm & safe environment which encourages personal growth.
J.K. · Google
Your plan
How to Get Started
We make the process simple and supportive.
Step 1
Contact us to schedule your first appointment. Request an appointment
Step 2
We’ll match you with a therapist who fits your needs and preferences.
Step 3
Complete your forms through our secure Client Portal.
Step 4
Begin your counseling journey with a team that truly cares.
Insurance & fees
Using your insurance or paying privately
Insurance plans we accept
Most of our clinicians are credentialed with:
- Aetna
- BlueCross BlueShield
- Cigna
- Optum/United
- Medcost
We will verify your mental health therapy benefits before your first appointment and communicate any out-of-pocket expenses.
We are not in network with Medicaid and Medicare plans.
Private pay rates
- Private pay initial intake
- $150
- Private pay follow-up session
- $125
- Marriage and couples counseling (private pay, insurance not billed)
- $150per session
- Family counseling (private pay, insurance not billed)
- $150per session
Family, marriage and couples counseling are private pay. Family counseling is $150 per session, the same as marriage and couples counseling.
Questions?
Fees, insurance, and the Good Faith Estimate are answered on the Insurance & Fees page.
Where can I access your paperwork?
We send copies of our paperwork through our secure portal.
Do you offer psychological evaluations, or referrals for psychological evaluations?
We do not offer psychological evaluations. However, we are happy to provide resources and referrals to trusted practices that specialize in comprehensive evaluations.
How often should I prepare to come to appointments?
Most clients begin with weekly or biweekly sessions to build consistency and rapport. Depending on your progress and goals, sessions may later shift to biweekly or monthly. Your counselor will work with you to create a schedule that best supports your needs.
About how long will it take for me be able to schedule my initial appointment?
We do not keep a waitlist. When you request an appointment, we offer you the first available appointment with a counselor who is a good fit for you. Schedule an appointment to get started.

Ready to begin your journey?
Take the first step toward healing and growth. Request an appointment and our office will be in touch.
Schedule Appointment