Question 1

Do you accept insurance?

Accepted Answer

Spence Counseling Alliance is an Out-of-Network provider, which means insurance isn't billed directly. Many insurance plans do reimburse for out-of-network services, and a superbill can be provided so you can submit for reimbursement through your plan. It's worth checking your out-of-network benefits before scheduling so you know what to expect.

Question 2

Do you work with teens, or only adults?

Accepted Answer

Both. Spence Counseling Alliance works with women, men, and teens, offering both individual therapy and life coaching depending on what fits your situation best.

Question 3

What's the difference between therapy and coaching here?

Accepted Answer

Therapy is licensed clinical treatment for mental health concerns. Coaching is a non-clinical, forward-focused partnership for women navigating midlife transitions, identity shifts, and burnout who want a structured space to move forward, not a diagnosis. Lois offers both, and can help you figure out which one fits what you're dealing with.

Question 4

Do you offer telehealth, or only in-person sessions?

Accepted Answer

Both. Sessions are available via telehealth or in person at the Issaquah office, depending on what works best for you.

Question 5

What areas do you serve?

Accepted Answer

Spence Counseling Alliance is based in Issaquah, WA and sees clients throughout Bellevue and across Washington State, in person and via telehealth.

Question 6

How do I get started?

Accepted Answer

Text or call (425) 224-6326 to schedule a free 15-minute consultation, or fill out the contact form on this site. There's no obligation, and it's a chance to see if it's the right fit before booking a full session.

Frequently Asked Questions

Q: Do you accept insurance?

Q: Do you work with teens, or only adults?

Q: What's the difference between therapy and coaching here?

Q: Do you offer telehealth, or only in-person sessions?

Q: What areas do you serve?

Q: How do I get started?

Ready to get started?