We’re a small team with big hearts and a passion for mental health.
Teal Ann Ingalsbe, APRN, PMHNP-BC
Teal is a dedicated Psychiatric Mental Health Nurse Practitioner who earned her advanced degree from the University of Nevada, Reno. Teal specialities include Child & Adolescent Psychiatry, Substance-Abuse, and General Psychiatry across the lifespan.
Her journey into healthcare is rooted in a deep passion for human connection and well-being, beginning with her first bachelor’s degree at Prescott College in psychology and education. Teal worked as an Equine and Art Program Director at a residential treatment facility for adjudicated youth in New Mexico, where she developed a unique approach to therapy through creative and experiential programs. She attained her nursing degree at Russell Sage College in upstate New York. With over twelve years of experience as a nurse, Teal brings a wealth of knowledge and expertise in providing quality, patient-centered care.
Teal's professional aspirations include serving her Tahoe and Tahoe Basin communities. She is especially passionate about helping patients achieve their mental wellness goals through personalized medication management and therapeutic support. Her approach is grounded in compassion, clinical expertise, and a deep belief in the potential for every individual to achieve mental and emotional well-being.
Lauren Lake, APRN, PMHNP-BC
Lauren is a Psychiatric Mental Health Nurse Practitioner whose twenty years in nursing have shaped a practice rooted in presence, compassion, and steady clinical judgment. Her path into advanced practice grew from a deep belief in the power of human connection—first nurtured at the bedside in critical care and later strengthened through years of work in peri‑anesthesia, psychiatric inpatient care, emergency medicine, and home hospice. These experiences taught her how to meet patients and families in their most vulnerable moments with clarity, empathy, and respect. Her PMHNP training at the University of Nevada, Reno expanded her skills across outpatient ADHD management, community mental health, inpatient psychiatry, women’s mental health, and emergency psychiatric consults, allowing her to develop a thoughtful, holistic approach to care across the lifespan. Lauren’s commitment to service extends beyond the clinical setting: she has coordinated multiple medical service trips to Belize and Mexico, volunteered with the Nevada Humane Society, and mentored young girls through Girls on the Run. Her Viniyoga teacher training further informs her work, giving her tools to integrate breathwork, mindfulness, and body‑based practices when appropriate. She draws from multiple therapeutic modalities to meet the unique needs of every patient, blending clinical expertise with a grounded, compassionate presence. Lauren is especially dedicated to supporting her Nevada community through personalized medication management, therapeutic connection, and a deep belief in each person’s capacity for healing and growth.
Teresa Moiola, DNP, APRN, PMHNP-BC
Teresa Moiola is a Psychiatric Mental Health Nurse Practitioner who offers a thoughtful, personalized approach to mental health care for adults and adolescents seeking something beyond a one-size-fits-all experience.
Her work focuses on the treatment of anxiety, depression, trauma-related conditions, and substance use, with an emphasis on clarity, collaboration, and meaningful progress. She integrates evidence-based medication management with psychotherapy-informed care, tailoring each treatment plan to reflect the individual’s values, goals, and lived experience. Teresa approaches care as a partnership, creating a space where patients feel both supported and genuinely understood.
She earned her Doctor of Nursing Practice in Psychiatric and Mental Health Nursing from the University of Nevada and completed advanced clinical training across diverse settings, including the Veterans Health Administration. In addition to her clinical expertise, Teresa brings a background in healthcare leadership and complex systems, allowing her to approach patient care with both depth and perspective.
Teresa is deeply committed to providing affirming, inclusive care for the LGBTQ+ community. She strives to create a space where patients feel safe, respected, and fully seen, whether they are navigating identity, relationships, minority stress, or simply seeking a provider who understands their experience.
Known for her warm, grounded, and attentive style, Teresa works with individuals who value a more intentional, high-touch approach to care, one that prioritizes trust, discretion, and lasting results.
Dr. Robert “Neal” Mills, MD, MBA
Dr. Neal Mills is a board-certified physician and seasoned executive leader with an extensive background in global health strategy and clinical oversight. Having previously served as the Global Chief Medical Officer for Goldman Sachs, Dr. Mills brings a unique perspective to mental health, blending rigorous clinical standards with a pragmatic, results-oriented approach to care. As the founder of The Metanoia Institute, he focuses on transformative mental health practices and the professional development of clinical teams.
In his current role as a supervising physician, Dr. Mills provides expert guidance to advanced practice providers, ensuring that every patient receives evidence-based, compassionate care while maintaining the highest standards of clinical excellence and operational integrity.