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Best Couples Therapists in Sienna Plantation, TX (2026)

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

The short answer

  1. 1

    Best overall in Sienna Plantation: Rose B. Viviano, LMFT, RP Score 65/100; 4.0★ from 3 Google reviews.

  2. 50

    Most-reviewed: Geode Health, 246 Google reviews at 4.7★, the most of 164 ranked; ranked #50.

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

164 Sienna Plantation couples therapists are ranked here by RP Score, from eight published factors. 63 open Saturdays and 24 open Sundays, based on posted hours. The median Google rating is 4.9★ across 164 rated practices.

Top 10 couples therapists in Sienna Plantation 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 Sienna Plantation at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Rose B. Viviano, LMFT654.0★ (3)Stafford, 11 mi away—Overall
2Howard Paula M653.7★ (3)Stafford, 11 mi away——
3A Better Family Now - Clifton Brantley644.7★ (26)Pearland, 8 mi awayEvenings—
4Thryve Therapy and Wellness | Sex and Couples Counselor- Sugar Land635.0★ (5)Missouri City, 7 mi awaySat · Sun · Evenings—
5Houston Relationship Therapy635.0★ (11)Houston, 18 mi awaySat · Sun · Evenings—
6The Way Education and Counseling Center, LLC615.0★ (6)Bellaire, 16 mi awaySat · Evenings—
7Comfort Christian Counseling614.1★ (11)Houston, 17 mi away——
8Fuller Life Family Therapy Institute605.0★ (3)Bellaire, 16 mi awaySat · Evenings—
9Coleen Owens604.4★ (7)Houston, 18 mi away——
10Yvonne Champion, LCSW604.3★ (3)Houston, 17 mi away——

The 164 best couples therapists in Sienna Plantation, 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 Sienna Plantation

    Based in Stafford, 11 mi away

    65/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.0★ from 3 Google reviews.

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

    • 4.0★ from 3 Google reviews
    Address
    12300 Parc Crest Dr, Stafford, TX 77477
  2. Based in Stafford, 11 mi away

    65/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Address
    10701 Corporate Dr # 180, Stafford, TX 77477
  3. 63/100RP Score

    Ranked #4 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–Sun 8 AM–9 PM
    Address
    4502 Riverstone Blvd Ste 702 D, Missouri City, TX 77459
  4. Based in Houston, 18 mi away

    63/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 11 Google reviews.

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

    • 5.0★ from 11 Google reviews
    Hours
    Mon–Sat 8:30 AM–9 PM · Sun 9 AM–5 PM
    Address
    5718 Westheimer Rd SUIT 1000, Houston, TX 77057
  5. Based in Bellaire, 16 mi away

    61/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 8:30 AM–8 PM · Sat 8:30 AM–12 PM · Sun closed
    Address
    6575 W Loop S #500, Bellaire, TX 77401
  6. Based in Houston, 17 mi away

    61/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.1★ from 11 Google reviews.

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

    • 4.1★ from 11 Google reviews
    Address
    2600 Wilcrest Dr, Houston, TX 77042
  7. Based in Houston, 18 mi away

    60/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 7 Google reviews.

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

    • 4.4★ from 7 Google reviews
    Address
    2537 S Gessner Rd #208, Houston, TX 77063
  8. Based in Houston, 17 mi away

    60/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 3 Google reviews.

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

    • 4.3★ from 3 Google reviews
    Address
    2439 Sunset Blvd, Houston, TX 77005
  9. Based in Houston, 17 mi away

    60/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 8 Google reviews.

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

    • 4.5★ from 8 Google reviews
    Hours
    Mon–Fri 9 AM–7 PM · Sat 9 AM–3 PM · Sun closed
    Address
    4615 SW Freeway Service Rd Ste. 130, Houston, TX 77027
  10. Based in Bellaire, 16 mi away

    60/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.3★ from 9 Google reviews.

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

    • 3.3★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat 9 AM–2 PM · Sun closed
    Address
    5909 W Loop S Ste 555, Bellaire, TX 77401
  11. Based in Fresno, 5 mi away

    59/100RP Score

    Ranked #13 because of its Google rating and specialty focus: 5.0★ from 7 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Fri 6 AM–8 PM · Sat 7 AM–3 PM · Sun 3 PM–7 PM
    Address
    13806 Sandstone Bridge Ln, Rosharon, TX 77583
  12. Based in Houston, 18 mi away

    59/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 8 Google reviews.

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

    • 4.4★ from 8 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 10 AM–1 PM · Sun closed
    Address
    Offices F, G & H, 4101 Greenbriar Dr Ste 105, Houston, TX 77098
  13. Based in Houston, 19 mi away

    59/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 9 Google reviews.

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

    • 4.2★ from 9 Google reviews
    Address
    800 Wilcrest Dr #250, Houston, TX 77042
  14. 59/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 4.7★ from 29 Google reviews, listed on Google as “Mental health service”.

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

    • 4.7★ from 29 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    3023 N Main St, Stafford, TX 77477
  15. Based in Houston, 16 mi away

    58/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.9★ from 11 Google reviews.

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

    • 4.9★ from 11 Google reviews
    Hours
    Mon–Thu 9 AM–7 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    3613 Goodhope St, Houston, TX 77021
  16. Based in Friendswood, 19 mi away

    58/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 10 AM–7 PM · Sat 10 AM–4 PM · Sun closed
    Address
    1414 S Friendswood Dr Building B, Suite 312B, Friendswood, TX 77546
  17. Based in Friendswood, 19 mi away

    58/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.5★ from 8 Google reviews.

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

    • 4.5★ from 8 Google reviews
    Hours
    Mon–Thu 9 AM–8 PM · Fri 9 AM–3 PM · Sat 9 AM–12 PM · Sun closed
    Address
    1506 Winding Way Dr building 110, Friendswood, TX 77546
  18. Based in Pearland, 16 mi away

    57/100RP Score

    Ranked #24 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–Tue 9 AM–6 PM · Wed 9 AM–5:30 PM · Thu 9 AM–6 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    2010 E Broadway St Ste 130, Pearland, TX 77581
  19. Based in Houston, 19 mi away

    57/100RP Score

    Ranked #25 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 1 PM–5 PM · Tue 9 AM–5 PM · Wed 1 PM–8 PM · Thu–Fri closed · Sat 9 AM–12 PM · Sun closed
    Address
    4544 Post Oak Pl Dr Ste 228, Houston, TX 77027

Couples therapists ranked #26 to #50

#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 164 ranked couples therapists here; the rest are on their profiles.

couples therapists in Sienna Plantation, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Restore Family Counseling, PLLC575.0★ (4)16 mi
27MYS Counseling & Assessment Manvel574.2★ (10)In Sienna Plantation
28Therapy for Moms, Couples Therapy, Mental Load in MotherhoodPostpartum Therapy in Texas - Balanced Minds Therapy565.0★ (18)20 mi
29Strelow Counseling565.0★ (3)17 mi
30Thriveworks Counseling & Psychiatry Pearland564.4★ (83)9 mi
31Motivations Counseling in Sugar Land564.9★ (52)11 mi
32Unload it Therapy554.7★ (14)19 mi
33Sugar Land Counseling Center554.4★ (57)11 mi
34Texas Counseling Center in Sugar Land554.5★ (66)11 mi
35Brenda Moreno Counseling | Marriage, Couples, & Individual Bilingual Counselor555.0★ (4)12 mi
36Brighter Tomorrows543.0★ (6)7 mi
37Surrogacy Counselor in Houston - Kristen Chambliss, Ph.D.543.6★ (9)19 mi
38Lifeologie Counseling Sugar Land545.0★ (17)13 mi
39Imperfectly Wonderful Counseling535.0★ (8)16 mi
40Magnolia Counseling of Pearland534.0★ (16)9 mi
41Sugar Land Psychological Associates534.6★ (54)10 mi
42Still Minds Counseling & Consulting LLC525.0★ (24)7 mi
43Thrive Family Counseling Sugar Land524.5★ (49)12 mi
44Gratia Plena524.6★ (10)11 mi
45Houston Healing Collective514.8★ (34)16 mi
46Roots of Hope Counseling515.0★ (11)12 mi
47A Healing Path Counseling514.7★ (13)12 mi
48Gerald W. Ford Sr, LPC503.0★ (4)12 mi
49Right Mentality Mental Health & Wellness PLLC504.5★ (33)8 mi
50Geode Health504.7★ (246)11 mi

Also serving Sienna Plantation

20 more couples therapists within 20 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

How we ranked Sienna Plantation couples therapists

We scored 164 Sienna Plantation 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 Sienna Plantation 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 Sienna Plantation: frequently asked questions

Who is the best couples therapist in Sienna Plantation?

By RP Score, the highest-ranked couples therapist in Sienna Plantation, TX is Rose B. Viviano, LMFT with an RP Score of 65/100. It has 4.0★ from 3 Google reviews. Howard Paula M (#2) and A Better Family Now - Clifton Brantley (#3) follow. We ranked 164 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Sienna Plantation?

RankedPsychologists ranks 164 couples therapists serving Sienna Plantation, TX. 1 of them is based in Sienna Plantation; the rest serve it from nearby towns. Another 20 within 20 mi are listed but not ranked yet. 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 Sienna Plantation work on weekends?

63 of 164 ranked couples therapists post Saturday hours and 24 post Sunday hours. The highest-ranked open Saturdays are Thryve Therapy and Wellness | Sex and Couples Counselor- Sugar Land (#4), Houston Relationship Therapy (#5) and The Way Education and Counseling Center, LLC (#6). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Sienna Plantation couples therapists have?

The median Google rating among 164 rated couples therapists in Sienna Plantation is 4.9★, with a median of 10 reviews. Geode Health has the most, 246 reviews, and ranks #50. 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 Sienna Plantation count in this ranking?

Yes, if they are within 20 mi of the Sienna Plantation 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 Sienna Plantation 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 Sienna Plantation

  1. November 2026: RP Scores recalculated for 164 couples therapists serving Sienna Plantation.