Good Faith Estimate.
Empowered Transitions Counseling
www.empowertransitions.com
Good Faith Estimate for Mental Health Services
Date of Good Faith Estimate: //Estimate Valid Through: April 2026
Explanation of Estimate for New Patients:
The estimate below provides a projected range of costs for psychotherapy services. Since every client’s situation is unique, the total cost of therapy will depend on the number of sessions required and the complexity of your needs. On average, therapy patients engage in individual, coparent, or couples sessions, with a total estimated cost ranging from $75 to $300 per session. Evaluations range between $350 to $1,500, depending on the type and complexity of the assessment.
If your needs require more or fewer sessions, adjustments to this estimate will be communicated accordingly.
For existing patients, this estimate is based on your current treatment plan and anticipated future sessions, but changes may occur depending on therapy progress.
Contact Information:
If you have questions regarding this estimate, please contact:
Empowered Transitions Counseling
Phone: 770-294-4006
Email: hello@empowertransitions.com
Clinician Information:
Provider Name: Latisha Ellis
NPI Number: 1487060604
Disclaimer:
This Good Faith Estimate outlines the expected costs of your mental health services based on the information available at the time. It does not include unknown or unexpected costs that may arise during treatment. In case of complications or special circumstances, the actual cost may vary.
If your final bill exceeds this estimate by more than $400, you have the right to dispute the charges.
To initiate a dispute, you may:
Contact Empowered Transitions Counseling to discuss and potentially negotiate your bill.
Start a dispute resolution process with the U.S. Department of Health and Human Services (HHS) within 120 calendar days of receiving the bill exceeding this estimate by $400 or more.
For more details, visit www.cms.gov/nosurprises or call 1-800-985-3059.
This Good Faith Estimate is not a contract and does not require you to accept the listed services. However, keeping a copy for future reference is recommended.