If you would like to see if I can help you with your particular situation, please email me for sliding session and scale questions. Call 615-583-9655 or email [email protected] to get started.

FEES: The fee for each  therapy session is $130.  Payment is due at the time of service prior to the session.  Acceptable forms of payment are: exact-amount cash, check (insufficient-funds checks will be returned upon full payment of the original amount plus $25 for any returned check), or credit/debit card, which has a $5 processing fee.  In the event that a scheduled appointment time is missed or cancelled less than 24 hours, please refer to the “Appointments and Cancellations” policy below.

APPOINTMENTS AND CANCELLATIONS: You are responsible for attending each appointment and agree to adhere to the following policy: If you cannot keep the scheduled appointment, you MUST notify our office to cancel or reschedule the appointment within 24 hours of the scheduled appointment time.  If you cancel or reschedule more than once, we may re-evaluate your needs, desires, and motivations for treatment at this time.  You will be charged for the full session fee via the credit card we have on file for you all for missed appointments or appointments cancelled within 24 hours at the end of the appointment.  Check your provider’s policies regarding cancellations and/or no shows.

Psychotherapy is a uniquely personal service; therefore, consultations may be briefly interrupted.  I may periodically take time off for vacation, seminars, and/or become ill.  Attempts will be made to give adequate notice of these events.  If I am unable to contact you directly, a colleague may contact you to cancel or reschedule an appointment.

Please come approximately 20-25 minutes prior to the initial interview to complete paperwork. Or please have paperwork emailed prior to tele-therapy appointment. For the initial interview, I find it very beneficial to only meet with the parents/legal guardians in order to learn about the child’s concerns, history of concerns, developmental history, academic history, etc. If parents are unable to come alone, tele-therapy is available for that initial session prior to the subsequent therapy sessions with the child. 

The clinician charges her hourly rate in quarter hours for phone calls over 10 minutes in length, email correspondence, reading assessments or evaluations, writing assessments or letters, and collaborating with necessary professionals (with your permission) for continuity of care.  All costs for services outside of session will be billed.

TRIAL, COURT ORDERED APPEARANCES, LITIGATION: Michele Ramey is not  a custody evaluator and cannot make any recommendations on custody. Due to the sensitive nature of divorce and all potential issues that may rise I have specific policies in place. Rarely, but on occasion, a court will order a therapist to testify, be deposed, or appear in court for a matter relating to your treatment or case.  In order to protect your confidentiality, I strongly suggest not being involved in the court.  If I get called into court by the client or their attorney, or as a subpoena, there will be charged a fee of $2000 prior to any work being done. Court related professional time, including but not limited to depositions or communication to lawyers, is billable at $280 per hour to include travel time, court time, preparing documents, etc. Checks, cash and all major credit cards are acceptable to pay for hourly fees as well.

COPIES OF MEDICAL RECORDS: Should you request a copy of your medical records, the cost is $1.50 per page.  Payment for your medical records will be due prior or upon receipt and can be picked up at the office.  Please allow at least 1 week to prepare medical records. 

Contact Me





Via Telehealth


Via Telehealth


Via Telehealth








Therapy in Person or Via Telehealth

9:00 am-5:00 pm