Good Faith Estimate

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

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

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

The estimated cost per counseling session is 120.00 or 160.00

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.

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

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.

Payment is due at the time of each session.

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.

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.