Avanti Counseling PLLC

Providing Telehealth Therapeutic Services throughout NC.
Client Portal
Offers Telehealth
Accepting New



Thank you for visiting the Avanti Counseling website. The word avanti is an Italian word that means "forward or breakthrough". In life we experience situations that may make us feel "stuck" or that we can't move "forward". It is often very difficult and painful for us to reflect on these experiences to understand how they have affected us and to acknowledge to ourselves that there is some work to be done to be able to move "forward".  ​ This is where Avanti Counseling comes in. I offer a safe, supportive, nurturing therapeutic space to support you on your journey to being the best version of yourself.  I use an integrated blend of psychological modalities. I utilize evidence-based practices such as Cognitive Behavior Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness, Positive Psychology, Solution-Focused Therapy and EMDR Therapy.  ​ I am committed to facilitating mental, emotional, and relational change in individuals and families. I am here to help you achieve healing, insight and growth in your life. ​ Availability ​ I offer Telehealth daytime and evening appointments to accommodate busy work and school schedules. Please feel free to ask me any of your questions or concerns.
Blanche Mikhail MS
Licensed Clinical Mental Health Clinician


  • Anxiety
  • Depression
  • Trauma
  • Life Transitions
  • Parenting


  • Cognitive Behavioral Therapy (CBT)
  • Eye Movement Desensitization & Reprocessing Therapy (EMDR)
  • Dialectical (DBT)
  • Solution Focused Brief (SFBT)
  • Existential
  • Acceptance and Commitment (ACT)
  • Attachment-Based
  • Compassion Focused
  • Mindfulness-Based Cognitive Therapy (MBCT)
  • Family Systems
  • Motivational Interviewing
  • Multicultural
  • Person-Centered

Insurance Accepted

  • Aetna
  • Cigna
  • BlueCross and BlueShield
  • United Healthcare
  • Oxford
  • Optum
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