Integrative Hormone, Metabolic &
Mental Health Telemedicine in Pennsylvania &
New York
Led by Leah Arcuri Tobisch, CRNP —
Board-Certified Family Nurse Practitioner
Medical Telemedicine Care in PA & NY +
Integrative Health & Lifestyle Coaching Nationwide
Hormones Optimization • Metabolic Health • Mental Health Care • Weight Management • GLP-1 Support • Integrative Health Coaching

House of Grace Wellness 🌿
Nurse Practitioner — Owned Integrative
Telemedicine Clinic
Serving Pennsylvania & New York
Coaching Nationwide
Integrative Care for Hormones, Metabolism & Mental Health
Whole-person, evidence-based, and integrative care for hormone imbalance, metabolic dysfunction, mental health concerns, and weight resistance.
At House of Grace Wellness, care is personalized, unrushed, and grounded in both medical expertise and whole-person healing—supporting your body, mind, and nervous system together.
Who We Help
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Women navigating hormone imbalance, perimenopause, or low energy
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Individuals struggling with weight resistance or metabolic health concerns
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Patients seeking integrative mental health support without rushed visits
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Those wanting a root-cause, whole-person approach to care
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Clients outside PA & NY looking for structured, non-medical health coaching
What We Offer
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Medical Telemedicine Care (PA & NY Residents):
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Hormone optimization & metabolic health support
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Weight management & GLP-1 therapy
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Integrative primary care
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Mental health support
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Addiction medicine support (Suboxone/Subutex, deprescribing)
How Care Works at House of Grace Wellness
Care at House of Grace Wellness is intentional, personalized, and unrushed. Whether you’re seeking medical telemedicine care or integrative health coaching, the process is designed to meet you where you are and address root causes—not just symptoms.
1. Start with the Right Visit
You begin by booking either a medical telemedicine appointment (for Pennsylvania or New York residents) or an integrative health coaching session (available nationwide). This ensures care is aligned with your needs and location from the start.
2. Comprehensive, Whole-Person Review
We take time to understand your full picture—symptoms, labs (when appropriate), lifestyle, stress, hormones, metabolism, and mental health. No rushed visits. No one-size-fits-all plans.
3. Personalized Treatment or Coaching Plan
Medical care may include lab-guided treatment, hormone optimization, metabolic support, mental health care, or weight management strategies.
Coaching focuses on education, nervous system regulation, lifestyle support, and sustainable habit change—without medical diagnosis or prescribing.
4. Ongoing Support & Adjustments
Care evolves with you. Follow-ups, refinements, and continued support are built into the process so your plan adapts as your body, goals, and life change.
This model allows for deeper care, better outcomes, and a more supportive experience than traditional rushed healthcare settings.