Trusted Expertise
Board-certified PMHNP Liziana Saint-Fleur offers thoughtful, evidence-based psychiatric care with personalized, collaborative treatment plans for children, adolescents, and adults.
Patient Partnership
We listen carefully, explain options clearly, and design practical medication plans that respect your experiences, goals, comfort, and real-life family, school, or work needs.
Accessible Care
When distance, time, or cost make care feel out of reach, secure telehealth, flexible scheduling, and insurance-friendly billing help you access support and focus on feeling better.
Local Support
We understand the rhythm of Treasure Coast life and provide flexible, compassionate psychiatric care that fits busy families, workers, and retirees, offering convenient appointments and collaborative support that helps you move steadily toward lasting emotional wellness.
Statewide Reach
Through secure, HIPAA-compliant telehealth, we provide accessible, evidence-based medication management across Florida, easing travel burdens, minimizing scheduling hurdles, and offering steady, compassionate support wherever you are in your mental health journey.
Insurance Accepted
Step-By-Step Health, LLC accepts several insurance plans, including Aetna, Carelon Behavioral Health, Cigna, Florida Blue, Quest Behavioral Health, Medicare, Medicaid, and UnitedHealthcare. Private pay options may also be available for patients without insurance.
Cancellation Policy
Appointments canceled with less than 24 hours’ notice will be subject to a $100.00 cancellation fee. This policy helps ensure appointment availability and supports timely care for all patients.