Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
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Healing Exchange LLC

Clinical Social Work/Therapist, MSW, LCSW (she, her)

Verified by Psychology Today Verified by Psychology Today
462 N Taylor Ave, Saint Louis, MO 63108
Call Us
Available both in-person and online
462 N Taylor Ave Saint Louis, MO 63108
Let's Connect (314) 593-2416
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
You may look functional on the outside but feel stuck inside, struggling with intimacy, trust, communication, or repeating relationship patterns. You might carry trauma or attachment wounds and feel emotionally overwhelmed at times. You want deeper, healthier connections without losing yourself. Your goal is healing, clarity, and relationships rooted in safety, choice, and authenticity.
We specialize in trauma-informed, relational therapy for individuals and groups. We help clients understand patterns, regulate emotions, and heal intimacy and attachment wounds through evidence-based, culturally responsive care tailored to your goals.
Starting therapy can feel vulnerable, especially if past relationships or systems didn’t feel safe. You don’t need to have everything figured out to begin. If you’re ready to explore change in a supportive, non-judgmental space, we welcome you to reach out when it feels right.
Call or Healing Exchange LLC now for a free 15 minute consultation - (314) 593-2416

Practice at a Glance

Available both in-person and online

462 N Taylor Ave

Saint Louis, MO 63108 map

(314) 593-2416
Website
We offer therapy sessions both in-person and online, with flexible scheduling options available during the week, evenings, and weekends.
I specialize in Sex Therapy, Relationship Issues and Life Coaching 
$200 Per Session  
I see individuals, couples and groups  
We can't wait to support you in this next phase of life. Email us today for a FREE 15-minute consult or book online via our website!
Healing Exchange LLC
Let's Connect (314) 593-2416
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW

Practice at a Glance

Available both in-person and online

462 N Taylor Ave

Saint Louis, MO 63108 map

(314) 593-2416
Website
We offer therapy sessions both in-person and online, with flexible scheduling options available during the week, evenings, and weekends.
I specialize in Sex Therapy, Relationship Issues and Life Coaching 
$200 Per Session  
I see individuals, couples and groups  
We can't wait to support you in this next phase of life. Email us today for a FREE 15-minute consult or book online via our website!
Healing Exchange LLC

Finances

Fees

  • Individual Sessions $200
  • Couple Sessions $225
  • Sliding scale: apply if you may be eligible

Payment Methods

American Express, Discover, Health Savings Account, Mastercard, Visa

Insurance

  • Out of Network
"
Currently, Rafaella Smith-Fiallo, LCSW is the only provider who accepts insurance and is in network with Anthem, Blue Cross Blue Shield, Optum, and UnitedHealthcare. Other providers are out-of-network and might be able to support clients in submitting a superbill for insurance reimbursement.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416
"
Currently, Rafaella Smith-Fiallo, LCSW is the only provider who accepts insurance and is in network with Anthem, Blue Cross Blue Shield, Optum, and UnitedHealthcare. Other providers are out-of-network and might be able to support clients in submitting a superbill for insurance reimbursement.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416

Qualifications

    Clinical Social Work/Therapist: Rafaella Smith-Fiallo

  • Verified by Psychology Today Licensed by State of Missouri / 2018000981 Rafaella Smith-Fiallo
  • Education and Years In Practice

  • In Practice for 11 years
  • Attended Washington University in St. Louis
  • Additional Credentials

  • Certificate from Missouri 2018000981
  • Certificate from Washington University in St. Louis Master of Social Work
"
We are a unique team with decades of experience between us. Every clinician has achieved at least a Master's level education in social work, counseling, or psychology (our interns are pursuing their Master's) and hold a variety of certifications and training in specialized areas of interest.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416
"
We are a unique team with decades of experience between us. Every clinician has achieved at least a Master's level education in social work, counseling, or psychology (our interns are pursuing their Master's) and hold a variety of certifications and training in specialized areas of interest.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416

Specialties and Expertise

Top Specialties

  • Sex Therapy
  • Relationship Issues
  • Life Coaching

Expertise

  • Body Image
  • Coping Skills
  • Emotional Disturbance
  • LGBTQIA +
  • Mood Disorders
  • Open Relationships Non-Monogamy
  • Self Esteem
  • Sex-Positive, Kink Allied
  • Sexual Abuse
  • Sexual Addiction
  • Stress
  • Suicidal Ideation
  • Trauma and PTSD
  • Veterans
  • Women's Issues
"
Hey, we're Healing Exchange and we specialize in relationship, sex, and trauma work! We offer inclusive and affirming therapy, education, and coaching for adults who are ready to build loving and compassionate relationships with themselves and others.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416
"
Hey, we're Healing Exchange and we specialize in relationship, sex, and trauma work! We offer inclusive and affirming therapy, education, and coaching for adults who are ready to build loving and compassionate relationships with themselves and others.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416

Client Focus

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Single Parent
Transgender Allied

Ethnicity

Black and African American
Hispanic and Latino

I also speak

Spanish
Swedish
Urdu

Age

Teen
Adults
Elders (65+)

Participants

Individuals
Couples
Group

Communities

Bisexual Allied
Gay Allied
HIV / AIDS Allied
Intersex Allied
Lesbian Allied
Non-Binary Allied
Queer Allied
Racial Justice Allied
Sex Worker Allied
Single Parent
Transgender Allied

Ethnicity

Black and African American
Hispanic and Latino

I also speak

Spanish
Swedish
Urdu

Treatment Approach

Types of Therapy

  • Attachment-based
  • Clinical Supervision and Licensed Supervisors
  • Dance Movement Therapy
  • EMDR
  • Emotionally Focused
  • Expressive Arts
  • Gottman Method
  • Internal Family Systems (IFS)
  • Narrative
  • Person-Centered
  • Sex Education
  • Solution Focused Brief (SFBT)
  • Somatic
  • Sound Healing & Reiki
  • Trauma Focused
"
We have specialized training in treating trauma through EMDR, IFS, Expressive Arts, and Somatic Experiencing, marriage and relationship therapy through Gottman, Prepare/Enrich, and EFT, and sex therapy/sex education.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416
"
We have specialized training in treating trauma through EMDR, IFS, Expressive Arts, and Somatic Experiencing, marriage and relationship therapy through Gottman, Prepare/Enrich, and EFT, and sex therapy/sex education.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call or for a free 15 minute consultation now - (314) 593-2416

Groups


Location

Primary Location

462 N Taylor Ave

Saint Louis, MO 63108

(314) 593-2416
"
We offer therapy sessions both in-person and online, with flexible scheduling options available during the week, evenings, and weekends.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call for a free consultation now - (314) 593-2416
"
We offer therapy sessions both in-person and online, with flexible scheduling options available during the week, evenings, and weekends.
Photo of Rafaella Smith-Fiallo - Healing Exchange LLC, Clinical Social Work/Therapist, MSW, LCSW
Healing Exchange LLC
Clinical Social Work/Therapist, MSW, LCSW
Call for a free consultation now - (314) 593-2416