Living Water Counseling Ministry 

Mental Health and Christian Counseling Services

" ...If you knew the Gift of God...you would have asked of Him, and He would have given you Living Water." (John 4:10 KJV) 

Self Pay Information

If you are interested in self-paying for counseling services please complete the information listed below. We will contact you as soon as possible to discuss your self-pay costs.  

Gender*
Preferred Method of Contact*
Do you currently have a health insurance plan?*
Do you currently have a Medicare policy?*
Do you currently have a Medicaid policy?*
Have you been court ordered for counseling services?*
Has your lawyer/attorney recommended counseling services? *
Have you been asked to complete counseling services by Child Protective Services (CPS) or the Department of Social Services (DSS)?*
How often were you thinking about attending counseling services?*
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Thank you for contacting Living Water Counseling Ministry. If this is an emergency please dial 911 or visit your local emergency room. Please be aware that I return phone calls and emails during my breaks so your inquiry might not be returned the same day it is received. Meetings are by appointment only. I look forward to speaking with you!


Living Water Counseling Ministry Mental Health and Christian Counseling Services

" ...If you knew the Gift of God...you would have asked of Him, and He would have given you Living Water." (John 4:10 KJV)

203 Virginia Street , P.O. Box 576 , Hillsville Virginia United States 24343-0576

© 2019 Living Water Counseling Ministry Mental Health and Christian Counseling Services. All Rights Reserved.

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