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Best Couples Therapists in Middle Valley, TN (2026)

27 couples therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Middle Valley: Dr. Brandon Santan, PhD, LPC-MHSP, RP Score 63/100; 5.0★ from 4 Google reviews; open Saturdays until 3 PM.

  2. 7

    Most-reviewed: River City Counseling PC, 75 Google reviews at 3.6★, the most of 27 ranked; ranked #7.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

27 Middle Valley couples therapists are ranked here by RP Score, from eight published factors. 7 open Saturdays and 1 open Sundays, based on posted hours. The median Google rating is 4.4★ across 27 rated practices.

Most of this list also appears on the Couples therapists in Chattanooga ranking. See Couples therapists in Chattanooga

Top 10 couples therapists in Middle Valley at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 couples therapists in Middle Valley at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Dr. Brandon Santan, PhD, LPC-MHSP635.0★ (4)Chattanooga, 10 mi awaySatOverall
2Carol Stoney, Ph.D.634.6★ (10)Chattanooga, 14 mi away——
3Karen Fortuno, LPC585.0★ (3)Chattanooga, 11 mi away——
4Richmont Community Counseling Center583.3★ (4)Chattanooga, 12 mi away——
5Christian Coaching & Consulting | Marriage,Youth & Family | TheIAMSolutions575.0★ (5)East Chattanooga, 8 mi awaySat—
6Christy Falco, MS, LMFT574.5★ (6)Chattanooga, 14 mi away——
7River City Counseling PC553.6★ (75)Chattanooga, 5 mi awaySatMost reviews
8Thriveworks Counseling & Therapy Chattanooga554.4★ (75)Chattanooga, 13 mi awaySat · Sun · Evenings—
9The Transformation Center513.8★ (55)Chattanooga, 10 mi awaySat—
10Paraclyte Counseling Services505.0★ (4)Chattanooga, 6 mi away——

The 27 best couples therapists in Middle Valley, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Middle Valley

    #1 Dr. Brandon Santan, PhD, LPC-MHSP

    Based in Chattanooga, 10 mi away

    63/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat 10 AM–3 PM · Sun closed
    Address
    101 Jordan Dr, Chattanooga, TN 37421
    View profile for Dr. Brandon Santan, PhD, LPC-MHSP(423) 834-7209

  2. #2 Carol Stoney, Ph.D.

    Based in Chattanooga, 14 mi away

    63/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 10 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.6★ from 10 Google reviews
    Address
    3097 Broad St Ste 6, Chattanooga, TN 37408
    View profile for Carol Stoney, Ph.D.(423) 827-3535

  3. #3 Karen Fortuno, LPC

    Based in Chattanooga, 11 mi away

    58/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 3 Google reviews
    Hours
    Mon–Thu 9 AM–2 PM · Fri–Sun closed
    Address
    810 Signal Mountain Rd A, Chattanooga, TN 37405
    View profile for Karen Fortuno, LPC(423) 303-9559

  6. #6 Christy Falco, MS, LMFT

    Based in Chattanooga, 14 mi away

    57/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 6 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    3097 Broad St, Chattanooga, TN 37408
    View profile for Christy Falco, MS, LMFT(423) 991-0442

  7. #7 River City Counseling PC

    Based in Chattanooga, 5 mi away

    55/100RP Score

    Ranked #7 because of its Google rating and specialty focus: 3.6★ from 75 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.6★ from 75 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat 9 AM–12 PM · Sun closed
    Address
    5819 Winding Ln #133, Hixson, TN 37343
    View profile for River City Counseling PC(423) 933-2575

  9. #9 The Transformation Center

    Based in Chattanooga, 10 mi away

    51/100RP Score

    Ranked #9 because of its Google rating and specialty focus: 3.8★ from 55 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.8★ from 55 Google reviews
    Hours
    Mon–Thu 8 AM–6 PM · Fri 8 AM–4 PM · Sat 8 AM–2 PM · Sun closed
    Address
    7209 Hamilton Acres Cir, Chattanooga, TN 37421
    View profile for The Transformation Center(423) 499-9335

  10. #10 Paraclyte Counseling Services

    Based in Chattanooga, 6 mi away

    50/100RP Score

    Ranked #10 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Tue 8 AM–4 PM · Wed 8:30 AM–4 PM · Thu 8 AM–4 PM · Fri 8 AM–1 PM · Sat–Sun closed
    Address
    4600 Hixson Pike #201, Hixson, TN 37343
    View profile for Paraclyte Counseling Services(423) 648-3150

  11. #11 Nooga Counseling

    Based in Chattanooga, 5 mi away

    50/100RP Score

    Ranked #11 because of its Google rating and specialty focus: 3.7★ from 3 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.7★ from 3 Google reviews
    Hours
    Mon closed · Tue–Thu 9 AM–6 PM · Fri–Sun closed
    Address
    5010 Austin Rd, Hixson, TN 37343
    View profile for Nooga Counseling(423) 602-4393

  12. #12 Harbor Counseling

    Based in Chattanooga, 11 mi away

    48/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 4.4★ from 14 Google reviews, listed on Google as “Psychotherapist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 14 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1303 Hixson Pike, Chattanooga, TN 37405
    View profile for Harbor Counseling(423) 250-1108

  14. #14 Grounded Counseling

    Based in Chattanooga, 12 mi away

    48/100RP Score

    Ranked #14 because of its Google rating and specialty focus: 4.2★ from 19 Google reviews, listed on Google as “Family counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 19 Google reviews
    Hours
    Mon–Tue 8 AM–8 PM · Wed 9 AM–8 PM · Thu 8 AM–8 PM · Fri 8 AM–7 PM · Sat–Sun closed
    Address
    407 Fairpoint St, Chattanooga, TN 37405
    View profile for Grounded Counseling(423) 648-5862

  17. #17 Evergreen Therapy

    Based in Chattanooga, 11 mi away

    47/100RP Score

    Ranked #17 because of its Google rating and specialty focus: 5.0★ from 5 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun closed
    Address
    748 Overbridge Ln, Chattanooga, TN 37405
    View profile for Evergreen Therapy

  18. #18 Scout Counseling, PLLC

    Based in Chattanooga, 12 mi away

    47/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 4.3★ from 14 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.3★ from 14 Google reviews
    Hours
    Mon 8 AM–7 PM · Tue 7 AM–7 PM · Wed 8 AM–5 PM · Thu 7:30 AM–5 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    651 E 4th St Ste 602, Chattanooga, TN 37403
    View profile for Scout Counseling, PLLC(423) 641-8308

  19. #19 Reconciled Hope Counseling, LLC

    Based in Chattanooga, 11 mi away

    46/100RP Score

    Ranked #19 because of its Google rating and specialty focus: 5.0★ from 3 Google reviews, listed on Google as “Mental health service”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 3 Google reviews
    Hours
    Mon–Thu 7 AM–7:30 PM · Fri 10 AM–3 PM · Sat–Sun closed
    Address
    243 Signal Mountain Rd Ste 131, Chattanooga, TN 37405
    View profile for Reconciled Hope Counseling, LLC(423) 930-9030

  20. #20 Naomi Boothe Counseling

    Based in Chattanooga, 11 mi away

    46/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 5.0★ from 3 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 3 Google reviews
    Hours
    Mon–Thu 8 AM–6 PM · Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1222 Tremont St Ste 101C, Chattanooga, TN 37405
    View profile for Naomi Boothe Counseling(423) 847-2535

  21. #21 Patricia Grady Stinnett LMFT Counseling Services PLLC

    Based in Chattanooga, 10 mi away

    46/100RP Score

    Ranked #21 because of its Google rating and specialty focus: 3.8★ from 5 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.8★ from 5 Google reviews
    Hours
    Mon–Thu 9 AM–6 PM · Fri 9 AM–2 PM · Sat–Sun closed
    Address
    7030 Lee Hwy Ste 102, Chattanooga, TN 37421
    View profile for Patricia Grady Stinnett LMFT Counseling Services PLLC(423) 716-6180

  22. #22 Henegar Counseling Center

    Based in Chattanooga, 12 mi away

    46/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 3.5★ from 31 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.5★ from 31 Google reviews
    Hours
    Mon–Thu 8 AM–7 PM · Fri–Sun closed
    Address
    1815 McCallie Ave, Chattanooga, TN 37404
    View profile for Henegar Counseling Center(423) 756-2894

  23. #23 Relationship Wellness, LLC

    Based in Chattanooga, 16 mi away

    46/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 4.8★ from 12 Google reviews, listed on Google as “Retreat center”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 12 Google reviews
    Hours
    Mon closed · Tue 3 PM–6:30 PM · Wed 9 AM–6:30 PM · Thu 9 AM–6 PM · Fri 9 AM–4 PM · Sat 10 AM–4 PM · Sun closed
    Address
    400 Garden Rd, Chattanooga, TN 37419
    View profile for Relationship Wellness, LLC(423) 500-7518

How we ranked Middle Valley couples therapists

We scored 27 Middle Valley couples therapists on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Middle Valley data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a couples therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure couples and marriage counseling is a regular part of their work, and ask what approach they use and why.
  3. Ask what training they have in couples work specifically (for example the Gottman Method or Emotionally Focused Therapy).
  4. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a couples therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How much of your work is couples and marriage counseling?
  • Do you also see each partner on their own?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Couples therapists in Middle Valley: frequently asked questions

Who is the best couples therapist in Middle Valley?

By RP Score, the highest-ranked couples therapist in Middle Valley, TN is Dr. Brandon Santan, PhD, LPC-MHSP with an RP Score of 63/100. It has 5.0★ from 4 Google reviews. It is open Saturdays until 3 PM. Carol Stoney, Ph.D. (#2) and Karen Fortuno, LPC (#3) follow. We ranked 27 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Middle Valley?

RankedPsychologists ranks 27 couples therapists serving Middle Valley, TN. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which couples therapists in Middle Valley work on weekends?

7 of 27 ranked couples therapists post Saturday hours and 1 post Sunday hours. The highest-ranked open Saturdays are Dr. Brandon Santan, PhD, LPC-MHSP (#1), Christian Coaching & Consulting | Marriage,Youth & Family | TheIAMSolutions (#5) and River City Counseling PC (#7). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Middle Valley couples therapists have?

The median Google rating among 27 rated couples therapists in Middle Valley is 4.4★, with a median of 7 reviews. River City Counseling PC has the most, 75 reviews, and ranks #7. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank couples therapists?

Each couples therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do couples therapists outside Middle Valley count in this ranking?

Yes, if they are within 20 mi of the Middle Valley city center, our service radius for couples therapists. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can couples therapists pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are couples therapists in Middle Valley ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on couples and marriage counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Do both partners need to come to couples therapy?

Most couples therapists prefer to see both partners, at least at first, but many will start with one. Ask how they handle individual sessions. If there is violence or fear in the relationship, tell the therapist privately; many do not offer joint sessions in that situation.

Can I see a couples therapist online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Middle Valley

  1. November 2026: RP Scores recalculated for 27 couples therapists serving Middle Valley.

More couples therapists and Middle Valley pages