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Client liaison team


It’s All About the People.

Everything is automated these days. 

We’re losing our people jobs and our people skills.  

Most people admit they are clamoring for connection more than ever, but don’t know how to form trust, and often, don’t know where to start at all in forming healthily vulnerable and interdependent relationships. 

Sadly, these trends may extend all the way into the helping professions — in spite of the fact that so many counselors are interested in helping you grow, they don’t answer their phones when you call to sign up, and weeks may go by before they respond to email inquiries, if they ever respond at all.

We do better.  Here’s what to expect on the phone.

  • Interested, engaging people answering the phones as much as is humanly possible. 
  • Personal, human connection in scheduling (no robots or software). 
  • Curiosity about what’s been troubling with you and a desire to know enough details to place you with the right fit. 
  • If we don’t answer the phone because we’re talking with someone else, we’ll give you a return phone call. PROMPTLY. 
    • Phone calls received on before 3pm CT Monday through Friday will be returned the same business day, and the next business day if you called after 3pm CT or on the weekend
    • Emails are always returned by no later than the next business day. 


Tamaria Alexander

Tamaria Alexander holds a Bachelor of Arts in Communication from Augusta University, and recently moved to the Saint Louis area to begin her professional career!  She brings strong interpersonal communication, customer service, and problem-solving skills, along with a can-do attitude and a demeanor that puts clients at ease.  Tamaria also possesses a strong cross-cultural skillset, having been raised in a military family with lots of overseas immersion.  She hopes one day to make specific use of that cross-cultural experience to help military children and families, particularly in the area of educational experiences.

Tamaria functions in the role of Sr. Client Liaison for Change, Inc.  She oversees our client on-boarding process and also ensures the smooth flowing of logistical, financial, and administrative tasks that undergird our therapeutic approach.  You can contact Tamaria directly with questions about these matters at

In her free time, Tamaria enjoys traveling and immersing herself into new cultures — especially new food!

From Tamaria:

“Perhaps the single-most-worthwhile effort we can undertake in life is to understand one another.  When we do, beautiful possibilities for connection and relationship unfold.  Those possibilities are undoubtedly what excite me most about Change, Inc. I am so excited to work with you!”

The beautiful thing about learning is that no one can take it away from you.

gale risse, client liaison

Client Liaison Gale Risse in a blue shirt with trees behind.

Gale Risse earned a Bachelor of Arts in Psychology from the University of Missouri-Saint Louis (UMSL) and has experience working in substance abuse counseling for individuals in the US Federal Probation system.

Through her work in the mental health field and otherwise, Gale has strengthened her ability to be of help during challenging times. She has a passion for creating an environment where others can feel accepted and appreciated.  Gale functions in the role of Client Liaison for Change, Inc., meaning she serves as a primary contact point for new and incoming clients, as well as established and returning clients.  She provides not only warm and empathic client reception and care, but also to screening and placement assistance to make sure our clients are matched with the correct skilled therapist.  Equally importantly, this role entails providing administrative, scheduling, and billing support throughout the duration of treatment.

In her free time, Gale enjoys making pottery, attending live music shows, and playing with her cat.

From Gale:

“It is my passion to listen with empathy, speak with authenticity, and lead with love. I recognize that starting therapy can often be an overwhelming process. It is my goal to ease that discomfort as much as possible in order to encourage individuals to begin their healing journey. We have an amazing team of clinicians here at Change Inc. and I can’t wait to help you get started!”

“We cannot change, we cannot move away from what we are, until we thoroughly accept what we are. Then change seems to come about almost unnoticed.


Nicole Neace is a Licensed Professional Counselor in the State of Missouri.  She holds a Master of Education in Clinical Mental Health Counseling from the University of Missouri–St. Louis (UMSL), and she is a National Board Certified Counselor (NCC) by the National Board for Certified Counselors (NBCC).   

In addition to her counseling role, Nicole is also Nicole is also an Assistant Clinical Director (ACD) at Change, Inc.,  meaning it’s her job to assist our Clinical Director in overseeing all clinical functions and roles within our environment.  In this capacity, Nicole is specifically in charge of providing first-line oversight of the Senior Client Liaison (SCL), and second-line oversight of the Client Liaison Team (CLT) itself, and is ultimately responsible for the smooth, efficient, and clinically-sound functioning of the CLT (see description below), to include client screening, on-boarding, and triage coordination.  

Nicole’s passion for helping people has grown across her career in the US and overseas, including her work in West and South Africa, Thailand, Burma, and Laos.   She is disarming, collaborative, and intentional.  Nicole enjoys working with adolescents, adults, couples, and individuals who are looking for someone to be supportive while they navigate recovery from trauma, difficult questions and impasses or life transitionsLGBTQ+/identity-related concerns, spiritual growth and recovery from abusive spiritual systemsanxiety, and more.

From Nicole:

It is never too late to begin deep and meaningful work reimagining how traumas or other experiences can become integrated, meaningful parts of our lives and ourselves, rather than barriers or obstacles. The key to this important work is the recognition that your story and each element of your story has significant meaning.  No detail is ultimately insignificant, if we can but muster the courage, patience, and presence required.  I will help you!  I am so eager to understand and explore with you, and help create a safe space that ultimately facilitates not just growth and transition, but true healing and transformation.”


“There are two extremes to avoid: being completely absorbed in your pain and being distracted by so many things that you stay far away from the wound you want to heal.”

Message Us at 

Or use the form below — there’s no pressure.

Call Us

(314) 669-6242

ST. LOUIS COunseling Locations


Change, Inc. South Hampton & 44:

3460 Hampton Avenue, Suite 204

St. Louis, MO 63139 



Monday through Friday // 9a to 3p

Saturday // 12p to 3p

Contacts received before 3pm:

  • returned the same business day

Contacts received after 3pm or on the Sundays:

  • returned the next business day

314-669-6242 / 877-5-CHANGE (524-2643)




10am to 9pm