Miki Tesh, Ph.D., LCSW

Dr.Tesh was extremely professional, responsive, helpful, and very understanding. Sent very well instructions before and after appointment. My letter got approved for my esa and we could not be more happier. 10/10 recommend going to Dr.Tesh! Thank you so much from Ghost and I. 😀

I used Dr.Miki to obtain an ESA recommendation for my two pups. It was a flat rate of $78 for both! The process was super smooth and painless. Thank you for making it possible for my pups and I!! 10/10 recommend and have shared her services with my friends and family. **using her services here in San Antonio!

When my normal psychiatrist office fell short and could not provide an ESA letter for me, Dr. Tesh came to the rescue! I was able to schedule a next day appointment with her and she delivered the document the same day. She charges a very affordable flat rate and was very easy to work with. I’d recommend her to anyone in need of her services!!

Very affordable flat rate and she's amazing to work with. I have recommended her to friends and family and everyone was extremely happy as well! 10/10 in everything!

Dr.Tesh is an absolute professional. She accommodated me fairly and made my emotional support animal process super simple. She is also responsive with documentation and very pleasant to speak with! A million and one thank yous from me and my baby Luna.