One-Eighty counseling

Turning Lives Around From The Triangle To The Coast CONTACT US

Who we are

One-Eighty Counseling, PA was founded in 2007 and has grown to become one of the most reputable mental health group practices in Southeast North Carolina, serving the “Triangle to the Coast.” With locations throughout Wake, Johnston, and New Hanover Counties, we offer comprehensive mental health and substance abuse counseling for school-aged children, pre-teens, adolescents, adults, couples, and families. Our diverse team of therapists has extensive experience helping people identify and overcome a broad range of mental health and addiction concerns. When you meet with a provider at One-Eighty Counseling, you will receive the highest quality of professional care. Our licensed clinical counselors, social workers, marriage and family therapists, and psychologists provide a supportive environment to meet you where you are and help you or your loved one Turn Your Life Around.

Our Mission

One-Eighty Counseling, PA exists to be a place where anyone of any walk of life can find a therapist to meet their needs. We achieve this mission through the diversity in our practice. Our providers are not only diverse in race, gender, ethnicity and personal backgrounds but also diverse in licensures, specializations and treatment modalities.

We are passionate about squashing the stigma around seeking mental health treatment. We deliver the highest quality of mental health services to individuals, families or couples. We feel successful when we have helped you or your loved one identify and overcome these struggles.

We make it our goal to adhere to the following values:
Respect & Dignity: We affirm all individuals, couples and families as valuable humans and strive to treat all with the highest level of respect and dignity; Excellence & Professionalism: The quality of our mental health services dictate our success. Integrity: We adhere to ethical guidelines promoted by our individual licensing boards at all times. Humility: We practice humility in all we do to better understand, help, and appreciate every individual regardless of our differences.

Our vision

One-Eighty Counseling, PA is synonymous with quality and professional outpatient mental health and substance use/addiction counseling services. We are known for the excellence of our services delivered by diverse and licensed therapists, social workers, marriage and family therapists and psychologists. Our reputation precedes us and we plan to continue with such excellence. We strive to be the leader in outpatient mental health and substance use/addiction services in Garner, Raleigh, Clayton, Cary, Morrisville, Apex, Holly Springs, Benson, Fuquay-Varina, Selma, Smithfield, Wilmington, Leland and Angier. We have 7 locations to serve you.

Learn More About

One80 Counseling

One80 Wilmington

Grand Opening Recap

One80 Wilmington

Grand Opening Recap


Trauma in Children and Adolescents

Trauma in Children and Adolescents By Julie DeFalco, LCSW and Clinical Director of Child & Adolescent ServicesOne may ask, how can multiple children be in the same situation, even the same family, and one have trauma and one not? It’s not only the event but how...

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Generational Trauma

Generational Trauma By Julie DeFalco, LCSW and Clinical Director of Child & Adolescent ServicesRecent research has shown that trauma can be passed down in families through genetics and environment. Here, we will focus on the environmental component. Parents often...

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Managing Your Mental Health in a Pandemic

Managing your Mental Health in a Pandemic By Sarah R. Coates, LCMHC, NCCWhen asked to write about navigating your mental health in the COVID pandemic, I found myself confronting my own fears, doubts and uncertainties.  It’s all we’ve been talking about since March....

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Read our article on WilmingtonBiz


Aiming to meet the Wilmington area’s growing demand for mental health services led Sarah Coates to open a location of her counseling practice here… Read More

GARNER, NC (April 6, 2018) – One-Eighty Counseling, P.A., a locally-owned, multi-disciplinary group mental health practice with locations in Garner and Cary, N.C., announces their recent award recognition. The practice has been recognized by the North Carolina Association for Marriage and Family Therapists, or NCAMFT, for “Distinguished Service to Families Award.” This state-level award arrives on the heels of an additional local award honoring the practice in February by the Cleveland Chamber of Commerce as ”2017 Business of the Year.”

Business of the Year 2017
Local award, presented by the Cleveland Area Chamber of Commerce

Distinguished Service to Families Award

State-Level Award , North Carolina Association for Marriage and Family Therapists

As seen in Vanity Fair: July/August 2021