LRHC believes in a team approach, with the patient as the MOST VALUABLE PLAYER.

All of our providers, nurses, care coordinators, service representatives, medical records specialists, billers, and managers, work together to assure top-quality care, delivered at reasonable cost, and always with kindness and respect.


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Dr. Stephen Genereaux, MD

Family Medicine and Obstetrics, MAT provider



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Dr. Simone Lessac-Chenen, MD, MPH

Family Medicine and Obstetrics, MAT provider, Chief Medical Officer



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dr. fay Homan, MD

Family Medicine and Pre/postnatal care, Director of Medical Staff



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Marlene Bristol, FNP

Family Medicine, MAT Provider


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Michael Brandli, ms, cmhc, Aap

Substance Abuse, Recovery, and Trauma Coordinator

Michael has been working in the behavioral health and substance use treatment fields since 2007. He started providing group and individual therapy in 2011 under the licenses of his supervisors at Valley Vista Residential treatment program. In December of 2018, he completed his Masters in Clinical Mental Health Counseling through Southern New Hampshire University. His goal is to be dually licensed as a Clinical Mental Health Counselor (LCMHC) and Alcohol and Substance Use Counselor (LADC). Michael is a member of the New Hampshire Disaster Behavioral Response Team (DBHRT) and is an advocate for first responders’ mental health. He assists adolescents aged 15 up through adults, who have been assessed with a behavioral health or substance use diagnosis.

Michael utilizes Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Narrative and Art Therapy in his treatment. He has a history of providing Qi Gong, Tai Chi, and Acudetox during individual and group sessions, enhancing his ability to utilize mindfulness practices.

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Tracy Thompson, licsw, LAdc, YTT-200

Clinical Social Work, Director of Behavioral Health

Tracy completed her Masters of Social Work degree in 2005 at the University of Central Florida and became a Licensed Independent Clinical Social worker in 2009. Tracy has worked with individuals, families and groups from ages 3 through 89 in a variety of settings. Her experience includes working with individuals who experience symptoms of Anxiety, Attention Deficit Hyperactivity Disorder, Trauma and other mental health and substance use diagnoses.

Tracy utilizes a strengths perspective while incorporating multiple modalities into her sessions, including but not limited to: Cognitive Behavioral Therapy (CBT), Mindfulness, Play Therapy, and Narrative approaches, as well as Motivational Interviewing (MI) and Acceptance and Commitment Therapy (ACT). Tracy became a Licensed Drug and Alcohol Counselor in 2018 and is currently training and working towards her EMDR certification.



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Tiffany White, msw, LiCSW, ladc

Clinical Social Work, MAT Program Coordinator

Tiffany is a Licensed Clinical Social Worker (LICSW) and a Licensed Alcohol and Drug Counselor (LADC) in the State of Vermont. She completed her master’s degree at the University of Vermont in Transformative Social Work. Her focus during her master’s program was centered on individuals who have experienced trauma. Her post graduate employment as a therapist, included treating individuals with co-occurring substance use and mental health disorders at the residential program Valley Vista. At Little Rivers Health Care, Tiffany currently serves as the Program Coordinator for the Medication Assisted Treatment program in addition to treating individuals in the Behavioral Health Program. 

Tiffany’s therapeutic approach is heavily based upon Cognitive Behavioral Therapy (CBT). Other modalities of her practice include, but are not limited to, Solution Focused Treatment (SFT), Mindfulness based treatment, Family Therapy, and Dialectical Behavioral Therapy (DBT). Tiffany was recently trained in Acudetox and is now offering this in both group and individual settings. She specializes in patients of all ages, but has more experience with those who are 18 and older.

Susan Hanewald, LICSW, MSW (not pictured)

Clinical Social Work