Let's partner on your journey to a better you.
Feeling stuck, overwhelmed, or just not like yourself anymore?
You're not alone. At Nova Mentality we actually listen — no judgment, no clipboards, no cold waiting rooms. Just real help from PMHNPs licensed in Florida, Oregon, and Washington who get what you're going through.
Telehealth across Florida, Oregon, and Washington • Clinic in Riverview • Medication support • Psychotherapy
Insurance:
Preferred provider for
Self pay:
$195 - 60 minute session for initial consultation for assessment, psychotherapy, and medication management.
$95 - 30 minute session for established patient medication management.
$175 - 60 minute established patient psychotherapy and medication management.
Smooth Care annual plan:
$85 paid monthly for one year or $995 annual prepaid. Includes one 30-minute medication management consultation monthly, secure messaging with 24-hour turnaround from your provider, and discounted additional visits at $75 for 30min or $150 for 60min. One-year term with a locked-in rate. Available to patients after the initial consultation.Join Smooth Care→

What We Offer
Psychiatric Services in Florida, Oregon, and Washington
Whether you're just starting out or nothing has worked yet — we have options. And we'll help you figure out which one fits.
Medication Management
Expert psychiatric evaluation and ongoing medication support — from SSRIs and SNRIs to newer treatments matched to your symptoms.
Psychotherapy
Evidence-based talk therapy (CBT, DBT) in a safe, supportive environment to help you understand your feelings and build real coping skills.
TMS Therapy
Emerging TreatmentNon-invasive magnetic stimulation targeting areas of the brain involved in mood regulation. An effective option for treatment-resistant depression and PTSD — no medication, no sedation, no downtime. Available at our Florida clinic.
Your Care Team
Meet Our Board-Certified Provider
Real people who genuinely want to help you feel better. Licensed in Florida, Oregon, and Washington and available via telehealth.

Sandra
PMHNP-BC
Sandra
PMHNP-BC
Sandra is a board-certified Psychiatric Mental Health Nurse Practitioner licensed in Florida, Oregon, and Washington. She sees patients in person at our Riverview office and via telehealth throughout Florida, Oregon, and Washington.
Patient Feedback(reviews)
What patients are saying
If I could click all the buttons above that describe how good she did, then I would. Absolutely fantastic experience, very professional and very helpful, listens extremely well, and works together with patients to get issues resolved.
Sandra was so helpful! She listened and made me feel so comfortable.
Excellent experience 🙌
About Sandra
Working with me is collaborative and patient-centered. My intake includes a comprehensive psychiatric evaluation using Betty Neuman's Systems Model, assessing physiological, psychological, sociocultural, developmental, and spiritual factors — along with stressors and strengths. I provide both therapy and medication management. Progress means building stability, stronger coping skills, and reduced symptoms. I work best with clients who are engaged, open, and willing to take an active role in their care using a holistic, mind-body approach.
The Nova Difference
Why Nova Mentality LLC?
We designed this practice from the ground up with one question in mind: what would actually make this better for you?
We listen first.
Every journey begins with understanding your story. Our approach is rooted in active listening, compassionate partnership, and personalized care.
Because your voice matters
Healing starts with being heard. We listen with intention, and treat with compassion. Most importantly, your story guides your care.
No clipboards. No forms.
We've digitized everything so you're not filling out stacks of paper the moment you walk in.
No window receptionist.
You won't check in through a glass window. Every interaction here is warm, personal, and respectful.
Telehealth statewide.
Licensed to see patients across Florida, Oregon, and Washington. Take control of your mental health — without ever leaving home.
Cutting-edge treatments.
Spravato and TMS are available soon. If standard medications haven't been enough, we offer newer options with real clinical evidence behind them.
Built for you.
We're new — and that means we built everything from scratch with the patient experience in mind. No outdated systems, no inherited baggage.
Veterans welcome.
We embrace our Veterans with the care and respect they've earned, and we understand the unique mental health challenges they face.
First Responders.
We understand the critical needs of our front line emergency workers in fire, law enforcement, and hospitals — providing experienced, trauma-informed care when you need it most.
Annual Membership
Smooth Care Plan
A simple, ongoing way to stay connected to your care and keep your mental health on track at a predictable, lower cost.
Nova Mentality Smooth Care
Annual membership for established patients
$85/mo
or $995 annual prepaid
$85 paid monthly for one year or $995 annual prepaid. Includes one 30-minute medication management consultation monthly, secure messaging with 24-hour turnaround from your provider, and discounted additional visits at $75 for 30min or $150 for 60min. One-year term with a locked-in rate. Available to patients after the initial consultation.
- One 30-minute medication management consultation monthly.
- Secure messaging with 24-hour turnaround from your provider.
- Discounted additional visits at $75 for 30min or $150 for 60min.
- One-year term with a locked-in rate.
Answers to Your
Frequently Asked Questions
Here are the ones we hear most often.
You're not alone
Immediate Help & Resources
This page is always here for you. Choose the option that fits where you are right now.
Call 911
If you or someone near you is in immediate physical danger or experiencing a medical emergency, call 911 right away.
Call 911 NowMeet with us as soon as possible
Not in immediate danger but still struggling? Book a session with our team and start building a plan that works for you.
Book the Next Available SessionHelpful Distractions in this moment
Things that can actually help now.
When your brain is spinning, or you need a distraction from the space you're in, try one of these. They're not magic — but they're evidence-based, and they give your nervous system something to hold onto.
Grounding Techniques
Sounds
Guided Meditation
A calming guided meditation to bring your mind back to stillness.
– by Elena Brower with Above & Beyond
You've taken the first step.
Reaching out is the hardest part. We're here and we're ready to help. Reach out today — no pressure, no judgment.
We do not provide your phone number to 3rd parties or contact you by SMS without your request, in compliance with 10DLC. You can opt out by sending STOP.
Please do not send Private Health Information over text or email.
If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline).
If you have an emergency please call 911.


