Concierge Direct Primary Care & Psychotherapy in Farmington, MI.
Not corporate medicine.
Not surface-level therapy.
For people who are tired of being rushed, dismissed, and handed prescriptions without real answers. We take time to understand what's actually happening, then help you address the root cause, not just the symptoms.
Currently accepting new patients for psychotherapy and our concierge direct primary care membership
Which of these sounds like you?
Most of our patients need one of these two paths (and some need both):
You’ve seen good doctors who wanted to help, but the corporate system gives them only a few minutes per visit. You leave with another prescription and still no clear answer about what’s wrong or why it keeps happening.
Or…
You’ve tried therapy before, but it stayed on the surface. You learned coping skills, but no one helped you understand what’s underneath. You need someone who can keep up with how you think.
Medical Care
When your body doesn’t feel like yours anymore. You’re exhausted despite sleeping. Your hormones are off. You’ve gained weight you can’t lose. Most medical practices are built around short visits and full schedules, so there’s rarely time to look past the basics.
Concierge direct primary care changes that. With a smaller practice, Dr. Hawkins has time to investigate what’s actually causing your symptoms and to follow your care over time. As an osteopathic physician with a background in psychology, he looks at how your physical and mental health affect each other.
Included in your membership
- Unhurried monthly visits and an annual physical
- Hormone therapy: Testosterone replacement therapy · Perimenopause & menopause care
- Medication management for depression, anxiety, and ADHD
- Discount on all specialty services including psychotherapy
Specialty services for members
Medical weight loss · Osteopathic manual medicine · Peptides · Therapeutic injections · IV therapy · Ketamine Assisted Psychotherapy
Psychotherapy
When you need more than coping skills. You’ve tried therapy before. It helped a little, but it stayed on the surface, and you never got to what’s underneath.
Dr. Ghoul specializes in working with people who think deeply and feel intensely. She helps you understand the patterns that keep repeating: why you do what you do, why you feel what you feel, and how to actually change it. Dr. Ghoul holds a PhD in Counselor Education and has taught graduate counseling and psychology courses, training future licensed counselors.
This is insight-oriented psychotherapy for people who want to understand themselves, not just manage symptoms.
- Individual psychotherapy for adults, grounded in attachment theory and developmental psychology
- Ketamine-assisted psychotherapy for treatment-resistant depression and anxiety, with Dr. Ghoul and Dr. Hawkins
What our patients are saying
"I have been seeing Dr. Hawkins for years now. His attention to detail and care is very important to me. As a patient, I feel like a priority. Dr. Hawkins goes out of his way after a visit to make sure that our plan is going smoothly and will always check in periodically before my next follow up. I can’t say enough good things about Dr. Hawkins and his practice. If you are looking for a doctor who genuinely cares about you and your health, you will not be disappointed by choosing him and his practice."
Frequently Asked Questions
Dr. Hawkins provides primary care within our Concierge Direct Primary Care Membership program. He also specializes in treatments such as medical weight loss, hormone replacement therapy, IV therapy, injections, ketamine therapy, osteopathic manipulative medicine (OMM), and mental health support. By focusing on these areas, he provides patient-centered care in specialized treatments that are often overlooked or underserved in traditional primary care settings.
Azoth Health does not offer drop-in appointments. Clinicians are available by appointment only. If you have questions please contact admin@azothallspiritus.com or call 734-249-8064.
If you’re facing an emergency, call 911 or head to the ER. Azoth Health, LLC isn’t set up to manage emergencies or urgent needs.
We don’t process insurance for Dr. Hawkins’ medical services. Here’s why that benefits you:
- No insurance-imposed session limits or treatment restrictions
- More time with your doctor – appointments aren’t rushed to meet insurance quotas
- Enhanced privacy – minimal documentation shared with external entities
- Greater flexibility in treatment options
- Complete transparency on costs upfront
All fees are discussed before treatment begins. No surprises. Payment is collected before appointments.
Our office accepts Blue Cross Blue Shield and Aetna for individual psychotherapy services, which was added due to popular demand. The rates are $200 for a 60-minute intake session and $180 for a 60-minute follow-up session. These rates are aligned with the terms of the practice’s contracts with insurance companies to ensure consistency and fairness.
Please note:
- Clients are encouraged to verify with their insurance provider whether they have a deductible or co-pay for mental health counseling.
- While Azoth Health makes every effort to confirm coverage, there may be times when insurance does not accept a claim or only partially covers services. In such cases, clients are responsible for the remaining balance.
- Claims processing times may vary depending on your insurance company.
We do not accept insurance for Ketamine-Assisted Psychotherapy.
For additional questions or clarification, clients are encouraged to reach out to the admin team email at admin@azothallspitus.com
Our clinicians prioritize keeping established patients’ personal information confidential and will only share it with your consent or if mandated by law. Communication exceptions may include dialogue with other healthcare providers associated with your care or with emergency responders when required. If professional misconduct by another healthcare provider is reported, limited information will be disclosed to the appropriate licensing bodies, after consultation with you. There are legally mandated situations that could compel your clinician to breach confidentiality:
- If there is a clear and imminent danger to another person, your clinician may need to warn the at-risk individual and notify the authorities.
- If abuse or neglect of minors or the elderly is suspected, legal obligations necessitate reporting to the relevant authorities.
- In cases where you present an immediate risk of self-harm, contacting emergency services or law enforcement may become necessary, although alternate safety measures will be discussed with you first.
Risks
- Privacy and Confidentiality: You may be asked to share personal information with the tele-health platform to create an account, such as your name, date of birth, location, and contact information. We have vetted the tele-health platform used in our practice to ensure your information is secured to the appropriate standards.
- Technology: At times, you could have problems with your internet, video, or sound. If you have issues during a session, your Provider will follow the backup plan that you agree to prior to sessions.
- Crisis Management: It may be difficult for your clinician to provide immediate support during an emergency or crisis. You and your clinician will develop a plan for emergencies or crises, such as choosing a local emergency contact, creating a communication plan, and making a list of local support, emergency, and crisis services.
Benefits
- Flexibility: You can attend therapy wherever is convenient for you.
- Ease of Access: You can attend tele-health sessions without worrying about traveling, meaning you can schedule less time per session and can attend therapy during inclement weather or illness.
Recommendations
- Make sure that other people cannot hear your conversation or see your screen during sessions.
- Do not use video or audio to record your session unless you ask your clinician for their permission in advance.
- Make sure to let your clinician know if you are not in your usual location before starting any tele-health session.