Mental Health AssociatesMission & VIsion

Vision Statement

  • To provide quality care for our patients.
  • To treat each patient with dignity, respect, kindness and courtesy.
  • To serve our community through preventive services and education.
  • To have a smoothly functioning practice, where the staff and practitioners work together in a spirit of harmony and cooperation.
  • To have a practice that recognizes its responsibilities to its employees and understands that the work of the office is most productively and efficiently done in an environment of mutually understood guidelines.

The mission of Mental Health Associates is to provide the highest quality mental health services, with a commitment to each individual at any stage of their life, and to provide research-based therapeutic services by highly trained and independently licensed professionals.

Serving Siouxland Since 1998

Since 1998 Mental Health Associates has been dedicated providing excellence through patient care. We focus on delivering the best and most practical solution for all sorts of conditions. We treat a variety of age groups. From Just two-years old to geriatric mental health and conditions, we are equipped to provide you the tools and strategies to a better mental health state of mind.

Reasons Clients Continue to Choose Mental Health & Associates

Denise Marandola, PhD has over 20 years experience providing therapy and Psychological testing services.

 Michelle Buhman-Livermore, LISW is a certified Clinical Trauma Specialist-Family

Gladys Smith, LISW has over 30 years working with adolescents.

Mental Health AssociatesStaff


Denise Marandola, Ph.D

Dr. Denise Marandola is a Clinical Psychologist who received her undergraduate degree in Psychology from Morningside College. Master’s Degree from the University of Nebraska at Omaha and her Ph.D. in Clinical Psychology from the University of South Dakota.

Michelle Buhman-Livermore, LISW, CCTS-F

Michelle earned her master's degree in social work from the University of Nebraska-Omaha. She is a licensed Independent Social Worker and Certified Clinical Trauma Specialist.


Gladys Smith, LISW

Gladys has over 35 years of clinical experience in a variety of human services settings. She has provided individual, group and family therapy in inpatient, outpatient and residential settings.

Our excellent office staff that makes your appointments, and helps keep everything running smoothly for you and our providers.