Mountain Mental Health and Wellness, PLLC
State-of-the-Art medication solutions for residents of North Carolina through Tele-Psychiatry 

“Mental health is a process, a delicate balance between our brain, body and soul, influenced by our journey through life. The right medication can ease symptoms and restore balance."                     ~Sandy Howard

“One small crack does not mean that you are broken, it means that you were put to the test and you didn’t fall apart.” 

                                        ~ Linda Poindexter

Direct pay, confidential, medication
management service for psychiatry and substance use disorders including Buprenorphine treatment 


Sandy Howard, NP-BC

I provide specialized and compassionate care for mental health or substance use disorders. With 18 years of experience in psychiatry my philosophy incorporates evidence-based science, and wellness... the connection of mind, body and spirit. I understand how the brain and the body influence one another in a delicate balance of mental and physical health. I take the time to assess what influences your unique concept of self, your strengths, your vulnerabilities, and your outlook on life. The right medication can help ease symptoms so you can restore the balance you need to pursue a fulfilling, meaningful, and successful life.

"Out of your vulnerabilities will come strength."
                                                                        ~Sigmund Freud

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I live in the beautiful mountains of Western North Carolina. I feel connected to nature, animals and music. 

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  • Graduated from Vanderbilt University in 2003 with a Master of Science in Nursing

  • Recognized by the State of NC as a psychiatric and substance use disorder expert with experience in community mental health, outpatient psychiatric care, inpatient psychiatric care including detoxification units, emergency department psychiatry, behavioral health urgent care, and private rehabilitation programs.


How Can I Help You?

Beginning with an initial psychiatric evaluation I will provide a diagnosis and prescribe medication for different types of mental health concerns such as:

For those struggling with opioid use disorder, I can provide


To learn more click on these links 

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Payment Policy

Mountain Mental Health and Wellness is a direct pay, tele-psychiatry medication management service. Fees are paid at the time of booking the appointment. I do not accept insurance. I am accepting new patients! Book your appointment online however, if you have questions please call me at 828-408-0432

Fee Schedule

Psychiatric evaluation takes no longer than 1 hour and the fee is $195

Follow-up psychiatric appointments after initial evaluation completed $95

Buprenorphine (Suboxone) treatment $300 per month, includes initial psychiatric evaluation, initiation of buprenorphine and all follow up visits per month 

Contact Me

I will get back to you                      soon!     

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© 2020 Mountain Mental Health and Wellness, PLLC