Good Faith Estimate

This is a Good Faith Estimate for the counseling services you are considering at Little River Counseling, LLC

oneService Provider Information:

Daphne Simpson, LPC-S, PMH-C, ICST
Little River Counseling, LLC

1601 Gault Ave North, Suite B
Fort Payne, AL 35967
256-229-2029
daphne.simpson@littlerivercounseling.com

oneSession Details:

Type of Service: Individual Counseling
Duration of Each Session: Sessions will either be a 45-52 minute session or a 53-60 minute session
Frequency of Sessions: Bi-weekly

oneEstimated Cost per Session:

The estimated cost per counseling session is 120.00 or 160.00

oneNumber of Sessions:

The estimated number of sessions is 24. Please note that the actual number of sessions required may vary based on your progress and individual needs.

oneTotal Estimated Cost:

The total estimated cost for the counseling services for 45-52 minutes for approximately 24 sessions at 120.00 is 2880.00
The total estimated cost for the counseling services for 53-60 minutes for approximately 24 sessions at 160.00 is 3840.00

oneInsurance Coverage:

If you have insurance coverage, I recommend contacting your insurance provider to confirm the extent of coverage for counseling services. Please provide Little River Counseling, LLC with your insurance details so that I can assist you in understanding your benefits.

onePayment Policies:

Payment is due at the time of each session.

oneCancellation Policy:

Kindly notify Little River Counseling, LLC at least 24 hours in advance if you need to cancel or reschedule a session to avoid any cancellation fees.

oneTotal Estimated Cost:

Any additional services or fees not covered in this estimate will be discussed with you in advance.

Please review this Good Faith Estimate and contact us if you have any questions or require further clarification.

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For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 480.680.6977
Since I offer telehealth in Florida I must link to this site flhealthsource.gov/telehealth/

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For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 480.680.6977
Since I offer telehealth in Florida I must link to this site flhealthsource.gov/telehealth/

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Let’s work together to build a path toward healing and hope. 
Contact me today to schedule a session or learn more about my services.