Concierge care

An integrated external support system for a more stable internal world

For those operating in high-pressure, high-visibility environments, I offer ultra-private, tightly aligned collaboration with your approved inner circle (e.g. agents, managers, attorneys, creative partners, family offices, other wellness providers) to maintain continuity and create a wholistic sense of support. This tier is intentionally capped to a very small number of clients to protect the level of focus it requires. Features of this service include:

  • Advanced clinical expertise tailored to the realities of performance, public visibility, and high-pressure leadership.

  • Additional support through high-stakes moments, public-facing events, or complex team dynamics.

  • Optional on-site or in-home sessions.

  • After-hours support available at a premium.

  • Clear, confidential communication with only those you approve.

  • A safe space to be your true self.

Dr Josh Mirmelli - A man with glasses wearing a navy sweater and black pants standing by a staircase in a hallway with dark wood paneling.

Early practice support

Assisting in the establishment and growth of new clinicians.

Starting a practice can feel both energizing and overwhelming as you move from training into independent work. I offer consultation for Master’s and Doctoral level clinicians who are in the process of establishing their professional identity. This service includes:

  • Guidance on creating sustainable systems and navigating the day-to-day logistics of private practice.

  • Foundations of ethical and legal decision-making (i.e. boundaries, documentation, scope of practice, and risk management).

  • Establishing strong clinical frameworks to best support your clients.

  • Supporting you in moving forward with clarity, confidence, and a structure that aligns clinical integrity with long-term sustainability.

Dr Josh Mirmelli - A man with dark hair, wearing glasses, a light blue shirt, and a black jacket, standing indoors with framed certificates and papers on the wall behind him.
Line drawing of a sofa with cushions.

I’m here when you’re ready.

Ready for change? Let’s begin