Welcome to Affiliates in Behavioral Health, LLC

6133 Rockside Road | Rockside Square Building II | Independence, OH 44131


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Meet Our Clinicians

Research shows that the most effective treatment for many psychiatric problems is a two-pronged approach which includes both psychotherapy or counseling and medication.  Because the Affiliates in Behavioral Health state-of-the-art practice offers both counseling and psychiatric care in one location, treatment is carefully coordinated to allow optimal levels of communication while avoiding costly duplication of services.  Affiliates' clinical counselors, psychologists, and psychiatrists collaborate to develop an integrated, evidence based treatment plan which can be implemented in our comfortable and confidential office setting conveniently located in the center of Greater Cleveland.

Clinical Staff

Marcia Bremenour, LPCC

Education: M.Ed., Community Agency Counseling, Cleveland State University B.A., Bowling Green State University Licensure/Certifications: L.P.C.C.-S., Licensed Professional Clinical Counselor, Social Worker, Marriage & Family Therapist Board, State of Ohio Gestalt Institute of Cleveland - Gestalt training Program - IV Dialectical Behavior Therapy Experience: Marcia has broad experience in the assessment, diagnosis, and treatment of mental health, substance abuse, and dual diagnosis issues. She has provided counseling, case management, and treatment services to adults and children. She has also provided clinical supervision as well as direct services as an Employee Assistance Program (EAP) Coordinator, Intensive Outpatient Program Coordinator, and Driver Intervention Program Coordinator, as well as supervised Master's level Counseling Interns.

Marina Forkosh, LISW

Education: M.S.S.A., Case Western Reserve University, School of Applied Sciences   Cleveland, Ohio B.S.W., Cleveland State University   Cleveland, Ohio Licensure/Certifications: L.I.S.W., Licensed Independence Social Worker, State of Ohio N.A.S.W., Member, National Association Social Workers Experience: Marina has a wealth of experience working in both inpatient and outpatient settings.  She provides psychotherapy to adolescents, adults, and their families.  She works with individuals with a  wide variety of diagnoses and clinical issues including depression, anxiety, personality disorders, substance abuse recovery, eating disorders, trauma, bereavement and parenting issues.  She has specialized training in crisis intervention, trauma and school-related issues.  Marina has also evaluated and treated individuals with addictions (including dual diagnosis and gambling)

Shura Hegde, M.D.

Education: M.D. - LVOV State Medical Institute, with Honors Licensure/Certifications: Board Certified, Psychiatry and Neurology Experience: Psychiatric assessment and medication management of adults. Seasoned psychiatrist with training experiences in both inpatient and outpatient settings and in community mental health and private practice. Internship training: MetroHealth Medical Center Residency training: MetroHealth Medical Center, Chief Resident, 1995-1996, Recipient of the Hegde Award, 1999 for outstanding contribution to the Dept. of Psychiatry. Guest lecturer, various pharmaceutical companies Fluent in Russian, Unkarinian, Hindi, Marathi, Kannada.

Charel Khol, Ph.D

Education: Ph.D., Counseling Psychology, Kent State University M.S., Education, Ohio University B.S., Ohio State University Licensure/Certifications: Certificate of Professional Qualification in Psychology, Association of State and Provincial Psychology Boards Registered Psychologist: Council for the National Register of Health Service Providers in Psychology Certificate of Achievement - Crisis Intervention Training, Child Guidance Centers Experience: Dr. Khol has provided therapy to adults, children, and families on an inpatient and outpatient basis. She has provided child and adolescent counseling services, therapy specific to sexual abuse, treatment of Post Traumatic Stress Disorder, physical disabilities, genetic and neurological disorders. She has consulted with family physicians and specialists in ADHD and on Early Childhood Intervention teams.

Kathleen Lynch, L.I.S.W.

Education: M.S.W. - Clinical Social Work, Ohio State University Columbus, Ohio B.A. – Miami University Oxford, Ohio Licensure/Certifications: L.I.S.W. – Licensed Independent Social Worker, State of Ohio Experience: Ms. Lynch has provided both long-term and short-term psychotherapy for children, adolescents, and adults. Her areas of concentration have included mood disorders, eating disorders, attention deficit hyperactivity problems, post traumatic stress disorder, anxiety disorders, domestic violence, oppositional defiant disorder, and substance abuse. Ms. Lynch has also provided marital counseling and family therapy.

Michael Miller, Ph.D., LICDC

Education: Ph.D - Indiana State University Terre Haute, IN
M.A. - Western Kentucky University Bowling Green, KY
B.A. - University of Toledo Toledo, OH Licensure/Certifications: LICDC - Licensed Independent Chemical Dependency Counselor
Licensed Psychologist, State of Ohio Experience: Specialized training in treatment of children, adolescents and adults. Special interests in addictions, dual diagnosis, depression and anxiety. Experienced at treating psychological aspects of medical illness, childhood and family problems.For more information, you may visit his personal website at DrMikeMiller.com.

Nick Palumbo, LISW

Education: M.A. -Social Administration with Mental Health Specialty, Case Western Reserve University, Cleveland, OH, 1980
B.A. - Psychology, University of Akron, Akron, OH Licensure/Certifications: L.I.S.W., Licensed Independent Social Worker, State of Ohio A.C.S.W., Diplomat in Clinical Social Work, Academy of Certified Social Workers Experience: Practicing for more than 30 years. Experienced in treatment of adolescents and adults. Extensive experience and special interest in marital, couples and family therapy , anxiety and depression, sexuality issues, and recovery from childhood trauma.
Owner and Practice Director for Affiliates in Behavioral Health, LLC.

Dan Tousley, PhD

Education: Ph.D. School Psychology, Kent State University, Kent, Ohio MA Educational Psychology, University of Texas at Austin Austin, Texas BA Psychology, University of Colorado at Boulder Boulder, Colorado Licensure/Certifications: Ph.D, Licensed Psychologist,  State of Ohio. Experience:  Dr. Dan Tousley has doctoral level and internship training in both school and clinical psychology with experience in both settings with children, adolescents, families and adults. He has specialized background and experience in learning and school related issues. Dr. Tousley provides treatment and consultation for social and emotional issues, including ADHD, developmental disorders, depression, and anxiety, as well as counseling related to parenting and family concerns and for problems related to living for adults.

Dan Williams, M.A., LPCC

Education: M.Ed., Community Agency Counseling - Cleveland State University  Cleveland, OH B.A., Psychology -Cleveland State University  Cleveland, OH Licensure/Certifications: PCC - Licensed Professional Clinical Counselor Experience: In his nearly twenty years of experience, Mr. Williams has provided direct care, crisis intervention, treatment planning and counseling for children, adolescents and their families.  In addition, he has worked with adults in outpatient settings, treating them for a variety of mental health conditions.  Mr. Williams has also provided counseling and case management services to children diagnosed with cerebral palsy and other developmental disabilities.


Sara Zuchowski, M.D.

Post-Graduate Training and Education: Board Certified in Psychiatry Education: Doctor of Medicine - Medical College of Ohio, Toledo OH Bachelor Of Arts - University of Toledo Areas of Interest/Specialty: Extensive experience in treatment and medication of adults with Post Partum Mood Disorder Anxiety - PTSD, OCD General Anxiety Disorder Depression Psychotic Disorders Bipolar Disorders