Due to regulatory changes in virtual healthcare in the state of Alabama, and the federal classification of testosterone as a class III controlled substance, we are heartbroken to announce that we will no longer be able to service members seeking T prescriptions in this state. 

We sought every possible path to try to maintain operations, but the unique legal constraints regarding in-person care in Alabama would have ultimately created an unsustainable and unsafe situation. We are committed to supporting our members through this transition. This includes offering our T-seeking members a bridge prescription and offering support resources for alternative GAHT providers in Alabama.

Our hearts go out to our members in Alabama impacted by these changes. We will continue to fight for fair and equitable access to care for everyone in our community, which includes speaking out and working with partners and lawmakers to try and change the regulatory constraints that cause harm to our community.


I am currently a Plume testosterone patient in Alabama, can I continue to work with Plume?

For all current members, we will be offering a bridge prescription and continued support monthly for up to 6 months to ensure continued care while you look for a new provider.  During that time it is important that you look for an in person provider to continue your care beyond the next 6 months. Please reach out to the Care Team in Spruce if you are impacted by these changes for support, we have some resources for you and want to be there for you until we no longer can be.

Medical release of information

I found an in-person provider, how can I transfer my records from Plume?

We can send over your Plume medical records to your new provider. Fill out this release of information form and we will send over your Plume documents using the information you provided. 

In-person GAHT Providers in Alabama

  • Gender Health Clinic at UAB Medicine
    • Locations served: Birmingham

    • Phone:  205-975-2737

    • Contact person re: GAHT: Brianna Patterson, Clinic Coordinator

    • Insurance: All major insurance and Medicaid

    • Booking timeline: N/A

    • Transfer process: Practice will submit a records request to Plume after you scheduled your appointment 

  • thrive Alabama 

    • Locations served: Huntsville

    • Phone): 256-536-4700 (general)

    • Contact person re: GAHT: Lakyn Newcomb

    • Insurance: All major insurance excluding Cigna HealthSpring, Medicaid and for uninsured sliding scale based on household size/income

    • Booking timeline: Feb/March

    • Transfer process: Practice will submit a records request to Plume after you scheduled your appointment 

  • Magic City Wellness Center

    • Locations served: Birmingham

    • Phone: 205-877-8677

    • Contact person re: GAHT: Jay Wall, transhealth@mcwc-bao.org

    • Insurance: Aetna, Blue Cross Blue Shield, Cigna, Humana, Tricare, United Healthcare, Viva, and most other major plans. MCWC does not accept Cigna HealthSpring or Medicaid.

    • Booking timeline: N/A

    • Transfer process: Practice will submit a records request to Plume after you scheduled your appointment 

  • West Alabama Women’s Center

    • Locations served: Tuscaloosa

    • Phone: 205-556-2026

    • Fax: 205-554-0584 

    • Contact person re: GAHT: N/A

    • Insurance: BCBS, Medicaid, uninsured

    • Booking timeline: Immediate bookings available

    • Transfer process: Practice will submit a records request to Plume after you scheduled your appointment.

  • USA Health - Jenna Pfleeger, MD

    • Locations served: Mobile

    • Phone: (251) 434-3475

    • Contact person re: GAHT: N/A

    • Insurance: All major insurance excluding AmBetter, Medicaid accepted

    • Booking timeline: First available is May for new patients

    • Transfer process: Practice will submit a records request to Plume after you scheduled your appointment 

Support groups & community resources

Impacted members are welcome to join Plume’s 6 week support groups for peer support navigating this transition. Learn more about how to register here.

  • Trans North Alabama - Adult Discord Server (18+) 

    • A safe space for transgender, non-binary, and gender questioning adults 18 years and older. Comprised of people mostly from Alabama and surrounding areas (but others are welcome as well!)

  • Stand with Trans

    • Michigan based but offers national support groups for TGNC youth (up to age 22) and their parents

    • Has a nationwide directory of Ally Parents who are parents of TGNC children who have been trained and vetted by a background check to offer support for both TGNC youth and their parents

  • gaychurch.org

    • List of affirming Christian churches in Alabama

  • Q Chat Space

    • Online chat for LGBTQ+ and questioning teens (ages 13-19)

    • Facilitated by staff who work with LGBTQ+ youth across the country

    • Not specific to Alabama

  • Trans Families

    • Online support groups for youth and parents

    • Not specific to Alabama

    • May be a cost associated with groups but also has pay what you can afford option

  • Trans Family Support Services - Alabama Chapter

    • Online support groups for youth and parents

  • Alabama Suicide and Crisis Lines

    • Lists some teen specific lines

Counseling services

A Better Way, LLC

5510 Wares Ferry Rd

Suite U 3

Montgomery, AL 36117

(334) 387-2317

(334) 605-8626

Auburn Therapy Associates, LLC

Brian Gillis, LMFT

Serving the Auburn-Opelika area

1716 Catherine Court, Unit 1A

Auburn, AL 36832



Prism Counseling Services

Enterprise, AL 36330

(334) 489-3712

*offers transgender support group

IntellectualSoul Clinical Counseling

Montgomery, AL 36106

(334) 384-8058

*member of WPATH and National Queer & Trans Therapists of Color Network

*may only offer online therapy

Kade Boliek Counseling

300 Office Park Drive Suite 205

Birmingham, AL 35223

(205) 800-8927

*does not accept insurance but offers sliding scale to those that qualify

Acceptance Counseling Group

472 N. Daleville Ave.

Daleville, Al 36322

(334) 245-3367

*experience with substance use counseling

*accepts Alabama Medicaid

Sarah Mulder, Psy D

Longwood Psychological Center

111 Longwood Drive SW

Huntsville, AL 35801

Dr. Mulder: (256) 469-1949

Practice Phone: (256) 534-8161

Magic City Wellness Center

3220 5th Ave S #100 

Birmingham, AL 35222

(205) 877-8677

NOTE: YOUR PLUME MEDICAL RECORDS ARE REQUIRED TO BE SENT TO MAGIC CITY WELLNESS CENTER BEFORE SCHEDULING. Complete our release of information to transfer your records. Send to Care Team via Spruce or email members@getplume.co

*offers counseling services

*offers support groups for trans youth and family members

Magic City Acceptance Center

3130 3rd Ave S 

Birmingham, AL 35233

(205) 774-1173

*offers LGBT Youth (ages 13-24) Discord Channel

*offers statewide virtual support groups for TGNC youth

Tree of Life Behavioral Health

190 Lime Quarry Road Suite 111

Madison, Alabama 35758

(256) 278-2802

Creative Therapeutic Solutions

Christa McCrorie, LICSW

3516 Vann Rd

Suite 106A

Trussville, AL 35173

(205) 578-2692

Savannah Joy Donahue

3200 Co. Rd. 52

Helena, AL 35080

(205) 846-3083

Susan Bechert, LICSW

Huntsville Psychotherapy & Counseling Services

7540 Memorial Pkwy SW 

Suite W

Huntsville, AL 35802

(256) 824-9171

Dr. Geneva (she/they)

(703) 439-1550

*does not take insurance but has sliding scale

*specializes in BIPOC clients

*only offers online appointments

Affordable Counseling Therapy (ACT)

Tiffany Elliot, LMFT

200 Century Park South

Suite 116

Birmingham, AL 35226

(205) 933-7442

Danne-Wilson Counseling

Birmingham, AL 35214

(205) 994-8140

Creative Wellness Counseling

Catherine Sherrill Smith

1116 23rd Street South

Birmingham, AL 35205

(205) 933-5422

Tamara Ward, LICSW

Auburn, AL 36830

(334) 218-1874

Inspirational Counseling, LLC

4100 Market Street SW Suite 100 

Huntsville, Alabama 35808


RedBird Counseling

J. Scott Long

203 Eastside Square

Huntsville, AL 35801

(256) 242-5356

*identifies as genderfluid

Alexander & Associates Counseling Services

Nichole Grimes

Jillian Littlefield

300 Office Park Drive

Suite 220

Mountain Brook, AL 35223

(205) 538-3099

Safe Space Therapy


*telehealth only

*does not take insurance but offers sliding scale based on income

Leslie T Herhold LLC Counseling Services

Rebecca Goodwin, LMFT

Veronica Statham, ALC

22765 U.S. 98


Fairhope, AL 36532

(251) 202-9003

Hope Grows Counseling

4124 Watermelon Road

Suite B

Northport, AL 35473

(205) 454-1897

*partners with Safe Haven Counseling Foundation to provide services on a sliding scale for financial hardship

Thrive Counseling & Psychiatry

Locations in Birmingham, Hoover, Trussville, Montgomery, Gulf Shores, Avondale

(205) 705-0195

*specialize in trauma, eating disorders, borderline personality disorder, and substance use

*offers psychiatry services

*offers case management services

Iron City Counseling

LaTesha Gardner

1855 Data Drive Suite 155

Hoover AL 35244

(205) 982-3586


Chavis Counseling Service, LLC

600 Interstate Park Drive

Suite 609

Montgomery, AL 36109

(334) 454-4366

JB Counseling LLC

6348 Piccadilly Square Drive


Mobile, AL 36609

(251) 241-5373

Leigh Miller Counseling, LLC

4268 Cahaba Heights Court

Ste 112

Birmingham, AL 35243

Phone (205) 277-1519

Emily Wilson Counseling

Tuscaloosa, AL 35401

(205) 301-8934

Jenny Marie Filush-Gaze

3320 Skyway Drive

Suite 802

Opelika, AL 36801

(334) 319-9988

Collins Counseling Associates

Offices in Fairhope, Mobile, and Atmore

(251) 473-3410

*will do teletherapy throughout Alabama

Renew Counseling

Mount Olive, AL 35117

(205) 202-1365

Lake & Stone Counseling

203 N 3rd St

Gadsden, Alabama 35901, United States

(256) 365-7136

Bay Area Professional Counseling, LLC

Alexa Da Rosa

3263 Demetropolis Road

Suite 8

Mobile, AL 36693

(251) 459-0200

Candace Bailey, LPC

4770-A Woodmere Blvd.

Ste 4

Montgomery, AL 36106

(334) 377-3322

Psychiatrists/psychiatric Nurse Practitioners

Centered Psychiatric & Counseling Services

Dr. Adhami Vigo, MD

100 Jefferson Street South Suite 300

Huntsville AL 35801

(256) 858-1676

Valley Behavioral Services

Dr. Ammar Alrefai, MD

Dr. Daniel Laeupple, MD

708 Will Halsey Way C

Madison, AL 35758

(256) 325-1349

TMS of North Alabama

Angela Waldrop, PMHNP-BC

9238 Madison Blvd

Suite 750

Madison, AL  35758


Sunshine Mental Wellness

Laura Graham, PMHNP-BC

2128 6th Avenue

Suite 501

Decatur, AL 35601

(256) 822-2002

Mind, Body, & Heart Wellness Clinic

Marissa Gould

100 Century Park South

Suite 102

Birmingham, AL 35226

(205) 565-6554

Thrive Counseling & Psychiatry

Locations in Birmingham, Hoover, Trussville, Montgomery, Gulf Shores, Avondale

(205) 705-0195

*specialize in trauma, eating disorders, borderline personality disorder, and substance use

Trans advocacy organizations