Welcome to Alliance Behavioral Health Integrated
Your health and wellbeing are our top priorities.
Meet Our Team
Our team combines medical and behavioral health expertise, with more than 30 years of experience, working together so patients receive coordinated, whole-person care, not just symptom treatment.
Hortense Noble ARNP, AGPCNP, PMHNP
James Sapp, LPC
Licensed Professional
Counselor / Therapist
Board Certified Nurse Practitioner
Hortense is a self-driven board-certified nurse practitioner with over 17 years of experience in healthcare. She has worked in emergency, critical care, trauma, oncology, hospice & palliative care. She completed her NP degree at South University (graduated with honors) and her PMHNP at Wilkes University. Her motto: "Serving is caring."Credentials: ARNP AGPCNP-C, PMHNP-BCSpecialties: Behavioral Health (PMHNP-BC), Adult Gerontology NPAssociations: American Nurses Association (2019), Sigma Theta Tau (2018), American Psychiatric Nurses Association (2022), ANCC (2022)
James Sapp has over 11 years of experience working with women and men who have battled trauma, addiction, work-related stress, family issues, and mood-related disorders. He offers client-centered therapy using CBT, DBT, Motivational Interviewing, EMDR, and IFS skills. Quote: "Many of us struggle with anger, anxiety, depression, and trauma. My greatest joy is seeing you make positive changes and be more successful with your relationships and in your everyday life."
Karen Caro, HCA
Director of Operations
Karen has been in the medical field since 2017. She earned her Medical Assistant Certificate from Pima Medical Institute (2019), became IV Therapy Infusion certified (2022), and completed her Associate's and Bachelor's in Health Care Administration from Pima Medical Institute (2024). She has overseen operations of six clinics and is known for her kindness, adaptability, and leadership.
“The staff here truly listens. I felt understood from the very first visit, and the coordinated approach to my care has made a world of difference.”
— M.R.
Our clinic has been serving the community with compassionate care, expert medical knowledge, and a commitment to excellence in healthcare since April 2025.
Patient Experiences
We are grateful for the trust our community places in our clinical team. Here are a few reflections from those who have visited us for their care.
“A very calm and professional environment. I appreciate how the medical and behavioral teams work together to ensure I’m receiving the right support.”
— S.L.
“Finding a clinic that treats you with such respect and compassion is rare. The atmosphere is peaceful, and the care is exceptionally thorough.”