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Best Couples Therapists in Spokane, WA (2026)

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

The short answer

  1. 1

    Best overall in Spokane: Spokane Counseling Hub, RP Score 74/100; 4.8★ from 21 Google reviews; open Saturdays until 2 PM.

  2. 6

    Most-reviewed: LifeStance Therapists & Psychiatrists Spokane, 180 Google reviews at 4.6★, the most of 33 ranked; ranked #6.

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

33 Spokane couples therapists are ranked here by RP Score, from eight published factors. 4 open Saturdays and 1 open Sundays, based on posted hours. The median Google rating is 4.8★ across 33 rated practices.

Top 10 couples therapists in Spokane 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 Spokane at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Spokane Counseling Hub744.8★ (21)SpokaneSat · EveningsOverall
2Renewed Stories Counseling664.8★ (18)SpokaneSat · Sun · Evenings—
3The Lotus & Leaf Counseling Center; Renae Marler, psychotherapist624.6★ (18)Spokane——
4Cameron Dewar, Licensed Marriage & Family Therapist614.3★ (4)Spokane——
5Gretchen Scott, Licensed Marriage & Family Therapist603.7★ (3)Spokane——
6LifeStance Therapists & Psychiatrists Spokane604.6★ (180)Spokane—Most reviews
7Kerrie Petech, Psychiatric Nurse Practitioner594.8★ (58)Spokane——
8Morning Star Community Services592.3★ (3)Spokane——
9Christian Counseling Spokane — Christine Martinz LMHC594.8★ (32)SpokaneEvenings—
10Rebecca Merritt, Psychiatrist594.8★ (45)Spokane——

The 33 best couples therapists in Spokane, 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 Spokane

    #1 Spokane Counseling Hub

    Based in Spokane

    74/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 21 Google reviews.

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

    • 4.8★ from 21 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–2 PM · Sun closed
    Address
    705 W 7th Ave a2, Spokane, WA 99204
    View profile for Spokane Counseling Hub(509) 418-2980

  20. #20 Haven Therapy

    Based in Spokane

    57/100RP Score

    Ranked #20 because of its Google rating and proximity: 4.5★ from 8 Google reviews, based in Spokane.

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

    • 4.5★ from 8 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    775 E Holland Ave Ste 102, Spokane, WA 99218
    View profile for Haven Therapy(509) 563-2250

  22. #22 Antonia Tombari

    Based in Spokane

    56/100RP Score

    Ranked #22 because of its Google rating and proximity: 5.0★ from 6 Google reviews, based in Spokane.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    400 S Jefferson St Ste 451, Spokane, WA 99204
    View profile for Antonia Tombari(509) 808-6337

  25. #25 Fishburne John W PhD

    Based in Spokane

    56/100RP Score

    Ranked #25 because of its Google rating and proximity: 5.0★ from 4 Google reviews, based in Spokane.

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

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Thu 8 AM–6 PM · Fri–Sun closed
    Address
    104 S Freya St Ste 214A, Spokane, WA 99202
    View profile for Fishburne John W PhD(509) 888-0048

All 33 couples therapists

#1 to #25 are shown in full above. Here are #26 to #33, in RP Score order; each links to its profile.

couples therapists in Spokane, ranks 26 to 33
RankBusinessRP ScoreGoogle ratingDistance
26Healthy Counseling Center563.5★ (31)In Spokane
27Smith Ray Wm563.7★ (6)In Spokane
28Integrated Balance Psychotherapy555.0★ (3)In Spokane
29A Brighter Way Counseling545.0★ (10)7 mi
30Refresh Therapy, Inc. - Spokane Valley534.6★ (30)11 mi
31Neurotherapy Northwest505.0★ (5)8 mi
32The Couch475.0★ (3)11 mi
33Liberty Lake Therapy464.0★ (4)13 mi

Also serving Spokane

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.

Unranked couples therapists serving Spokane
BusinessGoogle ratingDistance
Blue Mountain Psychology1.9★ (32)In Spokane
Charmed Counseling3.7★ (26)In Spokane
Darci Sheridan Counseling PLLC5.0★ (10)In Spokane
Family Essentials Counseling2.9★ (22)In Spokane
Foundations Family Support4.6★ (72)In Spokane
Grassroots Therapy Group4.8★ (12)In Spokane
Mindful Therapy Group - Spokane4.4★ (132)In Spokane
Nathan Bauder LMHC Annapurna Counseling, PLLC5.0★ (9)In Spokane
North Spokane Christian Counseling5.0★ (19)In Spokane
Northwest Counseling Center3.5★ (13)In Spokane
Orchid and Dandelion Counseling5.0★ (12)In Spokane
Rachel Baker LICSW, SUDP4.8★ (12)In Spokane
Revive Counseling Spokane, PLLC3.4★ (58)In Spokane
Rita I. Zorrozua, LICSW2.8★ (9)In Spokane
Smart Therapy in Spokane, Wa4.5★ (28)In Spokane
Soul Shine Counseling and Wellness5.0★ (23)In Spokane
Spokane Christian Counseling4.9★ (34)In Spokane
Spokane Family Guidance Services4.2★ (25)In Spokane
The Spokane Counselor4.3★ (17)In Spokane
Wellness Therapies Spokane4.1★ (14)In Spokane

How we ranked Spokane couples therapists

We scored 33 Spokane 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 Spokane 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 Spokane: frequently asked questions

Who is the best couples therapist in Spokane?

By RP Score, the highest-ranked couples therapist in Spokane, WA is Spokane Counseling Hub with an RP Score of 74/100. It has 4.8★ from 21 Google reviews. It is open Saturdays until 2 PM. Renewed Stories Counseling (#2) and The Lotus & Leaf Counseling Center; Renae Marler, psychotherapist (#3) follow. We ranked 33 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Spokane?

RankedPsychologists ranks 33 couples therapists serving Spokane, WA. 27 of them are based in Spokane; 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 Spokane work on weekends?

4 of 33 ranked couples therapists post Saturday hours and 1 post Sunday hours. The highest-ranked open Saturdays are Spokane Counseling Hub (#1) and Renewed Stories Counseling (#2). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Spokane couples therapists have?

The median Google rating among 33 rated couples therapists in Spokane is 4.8★, with a median of 12 reviews. LifeStance Therapists & Psychiatrists Spokane has the most, 180 reviews, and ranks #6. 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 Spokane count in this ranking?

Yes, if they are within 20 mi of the Spokane 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 Spokane 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 Spokane

  1. November 2026: RP Scores recalculated for 33 couples therapists serving Spokane.

More couples therapists and Spokane pages