Presence

What Presence does

Presence Wellness, Inc. (operating as Presence) is a multidisciplinary integrative wellness center headquartered at 4407 Bee Caves Road in Austin, Texas. Founded in 2019 by psychotherapist John Howard (who had previously founded Austin Professional Counseling in 2017), the practice offers individual, couples, and group psychotherapy alongside integrative psychiatry with medication management, telemedicine, primary care, nutrition counseling, therapeutic yoga, meditation and mindfulness classes, genomics/genetic assessments, and ketamine-assisted therapy. Sub-brands include Ready Set Love (an online relationship course and podcast), Presence Therapy, and CORE Pre-Marital Counseling.

The service delivery model combines in-person care at a single Austin campus (three adjacent office suites on Bee Caves Road) with statewide Texas telehealth delivered through a secure Zoom platform. A multidisciplinary team of licensed clinicians — LPCs, LMFTs, PsyDs, PMHNPs, registered dietitians, yoga instructors, and administrative staff — operates under sales-led patient acquisition routed through phone and email intake. Pricing is fee-for-service at pay-as-you-go cadence with disclosed session rates of $200–$350 and limited in-network insurance (Blue Cross Blue Shield PPO, Whole Foods plan).

The business model is primarily B2C professional services, with two named enterprise customers (a Seton employee wellness program and a Google relationship-wellness program led by the founder). The company is privately held, founder-owned, and reports no external funding, no M&A activity, and no parent company. Technology infrastructure is thin — no proprietary platform, no app, and no API — with telehealth running entirely on Zoom and intake handled manually by office staff.

Name

Presence

Legal name

Presence Wellness, Inc.

Website

https://presencewellness.co

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

11–50 employees

Short description

Presence is an Austin, Texas-based multidisciplinary integrative wellness center offering psychotherapy, integrative psychiatry, primary care, nutrition, yoga, meditation, telemedicine, and ketamine-assisted therapy to individual consumers across Texas via in-person and Zoom-based telehealth.

Ownership category

akta.pro rank

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Psychotherapy and Counseling Services: Fee-for-service therapy sessions including individual therapy, couples therapy, and group therapy. Services provided by licensed therapists including LPCs, LMFTs, and PsyDs.
2. Psychiatric Services and Medication Management: Psychiatric evaluations, medication management, and integrative psychiatric consults. Pricing varies by provider - initial consults 75 minutes, follow-ups 30 minutes.
3. Wellness Services: Nutrition counseling, yoga classes, meditation, mindfulness classes, genomics/genetics services, therapeutic classes, and workshops.
4. Educational Programs: Ready Set Love online relationship course and training programs for therapists, including continuing education credits.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Presence is a multidisciplinary integrative wellness center that delivers psychotherapy (individual, couples, and group), integrative psychiatry with medication management, telemedicine, nutrition counseling, therapeutic yoga, genomics/genetic assessments, and meditation/mindfulness classes. Services are provided in person at its Austin, TX office and via a secure Zoom telehealth platform to any Texas resident, with an additional educational layer (Ready Set Love, CORE Pre-Marital Counseling, podcast).

Product overview

Presence is a multidisciplinary integrative wellness center offering comprehensive mental health, physical health, and relationship wellness services. The company operates as a single unified center rather than a platform-plus-modules architecture, providing psychotherapy (individual, couples, and group therapy), integrative psychiatry with medication management, telemedicine, nutrition services, therapeutic yoga, meditation/mindfulness classes, genomics/genetic assessments, and educational programs including the Ready Set Love podcast and CORE Pre-Marital Counseling course. Services are delivered in-person at their Austin, TX location and via telehealth throughout Texas.

Differentiator

Problem solved

Functional benefit

Brands

• Ready Set Love: Online educational platform for couples dedicated to the promotion of healthy relationships worldwide and the first online relationship improvement program based in the neuroscience of connection. Includes podcast and online course.
• Presence Therapy
• CORE Pre-Marital Counseling

Products and services

• Individual Therapy Psychotherapy and counseling for individuals seeking to resolve issues or attain life goals with one-on-one attention from therapists trained in neuroscience-informed approaches.
• Couples Therapy World-class couples therapy directed by John Howard, LMFT, using advanced neuro-informed approaches to deepen connection and heal relationship conflicts.
• Group Therapy Group therapy sessions for deepening relationship and communication skills, bonding, and learning about oneself.
• Teletherapy Science-based virtual counseling via secure Zoom platform, offered throughout the State of Texas, described as effective as in-person counseling.
• Integrative Psychiatry Psychiatric assessment and medication management informed by integrative approaches, examining lifestyle, supplements, and prescribing medication when needed for adults 18+.
• Telemedicine Medical consultations and follow-up care delivered remotely via secure video platform throughout Texas.
• Primary Care Personalized direct primary care services pairing clients with physicians who take time to understand health needs and optimize wellness.
• Nutrition Services Cutting-edge nutrition services by registered dieticians and nutritionists, incorporating gut health assessment and dietary recommendations.
• Yoga Therapeutic yoga classes and groups for stress reduction and learning to live more calmly.
• Genomics / Genetics Genetic assessments to explore possible physical basis for mental health issues and inform personalized treatment.
• Meditation / Mindfulness Meditation classes and non-denominational spiritual education for connecting with deeper self and developing contemplative practices.
• Ready Set Love Podcast and Online Course Online educational platform and podcast dedicated to the promotion of healthy relationships worldwide, based in neuroscience of connection, available on Apple Podcasts and other platforms.
• CORE Pre-Marital Counseling Updated premarital counseling program for the 21st century, based in neuroscience, attachment theory, and multicultural awareness.
• Ketamine Assisted Therapy (KAT) Ketamine-assisted therapy certification for treating depression, anxiety, and trauma when traditional approaches are insufficient.

Quantifiable outcome

• Depression is considered 100% treatable with neuroscience-informed protocols
• +1 more outcomes

Named customers2 records

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature1 record

Partnerships

Five partnerships are on record, tiered minor.

• Castle Hill FitnessminorStrategic or Co-development PartnerCastle Hill Fitness is a partner whose mission is to provide a welcoming environment for the Austin community to improve overall health through fitness, community, variety, refueling, recovering, and challenging mind and body. They support the integrative wellness approach.
• Nutritional WisdomminorStrategic or Co-development PartnerNutritional Wisdom is one of Austin's top nutrition practices led by Carly Pollack, MA, CCN. They offer nutrition services and a 4-week immersive online course aimed at cleansing old behaviors to create a more conscious life.
• Center for Green PsychiatryminorStrategic or Co-development PartnerThe Center for Green Psychiatry (CGP) is an Austin-area wellness advocacy platform and collaboration of outpatient private-practice mental health clinics founded by psychiatrist Gregory Scott Brown, M.D. They provide evidence-centered holistic care and support wellness efforts in the broader community.
• Diagnostic Pain CenterminorStrategic or Co-development PartnerLed by Dr. Robert Marks, The Diagnostic Pain Center takes a multidisciplinary approach to treating pain disorders with advanced diagnostic, therapeutic and medical treatment services.
• Deep Eddy PsychotherapyminorStrategic or Co-development PartnerCo-host of diversity awareness training workshop for mental health professionals in Austin. Collaborated on organizing the workshop on unlearning racism and promoting social justice among therapists.

Scale indicators3 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Talkiatry: Talkiatry is a national virtual psychiatry practice that matches patients with in-network psychiatrists for medication management and therapy — directly comparable to Presence's integrative psychiatry and teletherapy services.
• Lyra Health: Lyra Health is a comprehensive mental health benefits platform offering therapy, psychiatry, coaching, and wellness to enterprise employees — comparable to Presence's multidisciplinary offering and its Seton/Google enterprise programs.
• Cerebral: Cerebral provides online therapy, psychiatry, and medication management for anxiety, depression, and insomnia — directly competing with Presence's integrated therapy and medication management model.
• Headspace Health (Ginger + Headspace): Headspace Health combines on-demand coaching, therapy, and psychiatry with mindfulness content — overlapping with Presence's therapy plus yoga/meditation/mindfulness stack.
• Two Chairs: Two Chairs is an in-person and teletherapy practice matching clients with specialty therapists — directly parallel to Presence's individual therapy and couples therapy model.
• Alma: Alma is a clinician-enablement network that provides insurance billing, telehealth, and practice support to independent mental health providers — comparable as a peer network model to Presence's clinic-based multidisciplinary practice.
• Brightside Health: Brightside Health offers online psychiatry and therapy with a measurement-based care approach for depression and anxiety — directly comparable in modality (telehealth psychiatry/therapy) and patient population to Presence.

Emerging players

• Charlie Health: Charlie Health provides intensive outpatient (IOP) virtual mental health treatment for adolescents and young adults — overlapping with Presence on telehealth delivery but focusing on a higher-acuity, different demographic segment.
• Octave: Octave is a behavioral health practice operating in select metros with in-person and virtual therapy, psychiatry, and couples/family services — emerging peer with comparable multi-modality outpatient mental health delivery.

Regional players

• Center for Green Psychiatry: Center for Green Psychiatry is an Austin-area mental health practice explicitly listed as a Presence partner; it offers evidence-centered holistic psychiatric care — a regional direct comparable sharing the Austin wellness-focused positioning.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubereadysetlove.com/podcast
• Facebookfacebook.com/presenceatx
• LinkedInlinkedin.com/company/presence-wellness

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Presence