Name * First Name Last Name Email * Phone * (###) ### #### Seeking Counseling For * Yourself or someone else? Client Age * Client Zip Code * Brief description of what you're hoping to accomplish through counseling * Insurance? * Aetna BCBS Cigna United Health/ UMR Other = Private Pay Rates Thank you! We will reach out to you as soon as we can. Contact Us ashley@gratefulheartcounseling.com(940) 202-9010211 W. 5th St., Justin, TX 76247
