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 Texas Cigna United Health/ UMR Other = Private Pay Rates How did you hear about us? Google Search Word of Mouth Insurance Facebook School Counselor Other 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
