Behavioral Health Services

Our Behavioral Health Services include Individual Counseling, Family Counseling, Consultation, Referral for Long-Term psychotherapy, medication evaluation, and substance abuse counseling.

To make an appointment, talk to your Missouri Ozarks Community Health Provider who will then assess the need for behavioral health counseling and provide a referral. We currently accept Medicaid, Medicare and sliding fee is available to those who qualify.

MOCH Behavioral Health Providers


Tory Spurgin, LCSW

Behavioral Health Consultant

Tory received her Bachelor of Education Degree from the University of Alaska, Anchorage and her Master of Social Work Degree from Missouri State University, Springfield.

Tory has twenty years of experience working with children and families in both schools and social work settings in helping them work through trauma situations and the resulting behavioral issues. She also enjoys working with her horses, dogs, and other animals.

Tory is available to see patients in Ava, Gainesville, and Mountain Grove.


David Evans, LPC, CRAADC, CCDP

David Evans, LPC, CRAADC, CCDP, is a Licensed Professional Counselor, also certified in Substance Use Counseling. He joined Missouri Ozarks Community Health in July, 2019.

David graduated from College of the Ozarks with degrees in Psychology and Philosophy & Religion in 1994. David also continued post graduate training in Marriage and Family Therapy. He has practiced within the counseling field since 1997.

His passion is supporting entities’ within local communities to create medical, mental health and substance usage awareness with prevention, education and counseling.
David provides behavioral health services in the Mountain Grove and Houston Clinics.

In his free time David enjoys spending time with family and enjoying the outdoors.


Hannah Paul, LMSW

Hannah graduated from College of the Ozarks with a Bachelor of Arts degree in family studies and received her Masters of Social Work degree from Missouri State University.

Hannah is passionate about helping children, teenagers, and adults create lasting change using a strengths-based focus. She is also trained in Eye Movement Desensitization and Reprocessing (EMDR) therapy and loves using this tool to guide people in healing traumatic memories. In her free time, Hannah enjoy exploring the outdoors with my family and reading good books.

carla trick behavioral health provider

Carla Trick, LPC

Carla earned her Bachelors in Sociology with a minor in Psychology from the College of the Ozarks in 1986 and her Masters in Counseling from Missouri State University in 2010.

She also is a nationally rostered Trauma Focused Cognitive- Behavioral Therapist with experience working with children, adolescents, and adults. Her passion is helping people overcome challenges they face from having experienced trauma. She enjoys being outdoors, spending time with her family, and playing with her dog. She is available in the Houston clinic.