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Offered in-person & online

Our therapists offer premarital counseling in Blacksburg, VA

Start in-person or online sessions with a provider you can trust. We accept most major insurances. Book online or by giving us a call

Find a provider Call (540) 361-6270

All Blacksburg services

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686,000 people sought help with Thriveworks in the last year

Discover how starting premarital counseling can support your own journey toward a happier, more fulfilling life.

Meet with a therapist as soon as this week

1  therapist available in Blacksburg

Tiffany Cox
Tiffany Cox She/Her
Counselor (Resident In Counseling)

As a woman of color, I strive to assist individuals from diverse cultural backgrounds in navigating life’s challenges with underst...

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Tiffany Cox

Tiffany Cox

Resident In Counseling
Aetna, Anthem Blue Cross and Blue Shield Virginia | BCBS HMO, Anthem Blue Cross and Blue Shield Virginia | BCBS PPO, Anthem Blue Cross and Blue Shield Virginia | Exchange, Cigna | Evernorth, Firefly Health Plan | Cigna PPO Network, United Healthcare | Optum, Cigna | Evernorth - Employee Assistance Program (EAP), United Healthcare | Optum - Employee Assistance Program (EAP)
Domestic Abuse, LGBTQIA+, Behavioral Issues, Coping Skills, Self Esteem, Women’s Issues, Autism, ADHD, Bipolar Disorder, Sleep / Insomnia, Eating Disorder, Life Transition, Relationships, Anxiety, Depression, Trauma / PTSD, Self-Harming, Adoption, Body Dysmorphia, Body Image Issues, Caregivers, Codependency, Domestic Violence, Dual Diagnosis, Hoarding, Internet Addiction, Marital & Premarital, Mood Disorders, Neurodiversity, Obesity, Open Relationships / Non-Monogamy, Panic Attack, Peer Relationships, Performance Anxiety, Seniors & Geriatric, Social Anxiety, Step-Family / Blended Family Issues, Thinking Disorders, Video Game Addiction, Weight Loss, Stress / Mental Stress / Work Stress, Anger Management, Career Counseling, Obsessive-Compulsive Disorder (OCD), Spirituality, Family Conflict, Parenting, Racial Identity, School Issues, Divorce, Grief, Pregnancy, Prenatal, Postpartum
Serves ages 65+, 11-13, 18-64, 14-17

About

As a woman of color, I strive to assist individuals from diverse cultural backgrounds in navigating life’s challenges with understanding, empowerment, and healing.

I am a Resident in Counseling with 2 years of experience supporting individuals and families through life’s challenges. My approach is grounded in empathy, respect, and collaboration, helping clients navigate anxiety, depression, trauma, family issues, and life transitions. I strive to foster resilience, self-awareness, and emotional balance while creating a safe and welcoming space for meaningful growth and healing.

I earned my Master’s in Clinical Mental Health Counseling from Liberty University and began my career as a community-based mental health professional. My work draws from cognitive behavioral therapy and psychodynamic principles to help clients gain insight, strengthen coping skills, and create lasting emotional change.

I believe everyone deserves to feel seen, heard, and supported. My goal is to walk beside clients as they pursue healing, personal growth, and peace. Together, we’ll create a path toward greater self-understanding and emotional freedom—one that honors your unique story and empowers you to thrive.

Education and training

Years in practice
2 years
Graduating Institute
Liberty University
Graduating Degree
Master of Arts, Clinical Mental Health Counseling
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Common approaches to Premarital counseling

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Starting Premarital counseling in Blacksburg

What is premarital counseling?

Premarital counseling is a type of therapy that helps couples prepare for and build a happy, successful marriage. Premarital therapists at Thriveworks in Blacksburg, VA can help couples develop essential communication skills, identify potential conflict areas, and learn how to manage their specific relationship issues.

How does premarital counseling work?

When you and your partner begin premarital counseling, your counselor will want to get to know you both as well as your relationship. In order to accomplish this, they will ask questions around the following:

  • Common interests and activities
  • Marital expectations
  • Budget and Finance
  • Children and parenting
  • Intimacy

If there is a particular area that they feel needs to be explored further (for example, you note that you and your partner have very different spending habits and views on money), they’ll guide the conversation in the given direction.

Is premarital counseling conducted in person or online?

Premarital counseling at Thriveworks is conducted both in person and through Online therapy. We encourage you to choose the option that works best for you and your partner.

How long does premarital counseling last?

Generally speaking, Thriveworks premarital counseling in Blacksburg typically lasts for 8-10 weeks. This, however, can vary depending on the counselor’s approach as well as the clients’ preferences and needs. For example, some couples might request additional sessions to work through problem areas that they’ve identified in their relationship pre-wedding.

Need more help deciding?

Pre-Marital Counseling—Therapists and Counselors in Blacksburg, VA

Pre-marital counseling can help you build a strong foundation for your marriage by addressing key issues before saying “I do.” At Thriveworks Blacksburg, our experienced counselors are ready to assist you in preparing for a successful marriage.

Call us at (540) 361-6270 to schedule your appointment.

What is Pre-Marital Counseling?

Pre-marital counseling is designed to help couples communicate effectively, address differences, and form good habits that will support a healthy marriage. It provides a safe space to discuss important topics like money, sex, and children, ensuring you and your partner are on the same page.

How Can Pre-Marital Counseling Help?

Our pre-marital counseling at Thriveworks Blacksburg offers:

  • Effective communication: Learn to listen and express your desires, concerns, and expectations.
  • Conflict resolution: Develop better techniques to handle disagreements without resorting to silent treatment, pouting, shouting, or insulting.
  • Addressing past issues: Confront and make peace with any toxic emotions or dysfunctional backgrounds to prevent them from harming your marriage.

Book a Session with Thriveworks Blacksburg

Prepare for your marriage with the help of our skilled counselors. We offer flexible scheduling to accommodate your busy lives. New clients often see their provider within 7 business days of their first call.

Contact us today to book an appointment and ensure your marriage starts on the right foot. (540) 361-6270

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Pricing & insurance

Our therapists accept most major insurances. We accept 360+ insurance plans, and offer self-pay options, too.
Learn more about pricing for therapy and counseling services at Thriveworks.

Our therapists and counselors in Blacksburg accept 30 insurance plans

  • Adventist Health Associates | Employee Health Plan

  • Adventist Health Associates | Non-Employee Health Plan

  • Aetna

  • Anthem Blue Cross and Blue Shield Virginia Medicare Advantage

  • Anthem Blue Cross and Blue Shield Virginia | BCBS HMO

  • Anthem Blue Cross and Blue Shield Virginia | BCBS PPO

  • Anthem Blue Cross and Blue Shield Virginia | Exchange

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS HMO

  • CareFirst Blue Cross and Blue Shield of Virginia | BCBS PPO

  • Carelon

  • Carelon | Medicare Advantage

  • Cigna | Evernorth

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Self-pay costs at Blacksburg
Talk therapy

Talk therapy

Includes individual, couples, child/ teen, & family therapy

First session

$1

Ongoing sessions

$1

Talk therapy

Psychiatry

Includes reducing symptoms with medication & management

First session

$1

Ongoing sessions

$1

Hear from our clients

4.9 Learn about verified reviews
View all reviews
★★★★★
Renee Anderson is awesome!
Charleen Sep 2025
Thriveworks.com verified review
★★★★★
My Therapist is knowledgeable about my specific areas of struggle and does not generalize me, but rather helps me effectively process my concerns. Personality and demeanor are important to me, and Anne O'Hara is very relaxed and casual which has been pivotal in some breakthroughs that I have experienced. A Therapist that took a more clinical approach would have not been effective in getting me to communicate due to past trauma that Anne has helped me work through.
Read more My Therapist is knowledgeable about my specific areas of struggle and does not generalize me, but rather helps me effectively process my concerns. Personality and demeanor are important to me, and Anne O'Hara is very relaxed and casual which has been pivotal in some breakthroughs that I have experienced. A Therapist that took a more clinical approach would have not been effective in getting me to communicate due to past trauma that Anne has helped me work through.
Stephanie Sep 2025
Thriveworks.com verified review
★★★★★
I appreciate how Michael is always able to make me feel heard. His thoughtful words and insight has made a world of difference in my day to day life.
Nicolas Sep 2025
Thriveworks.com verified review
★★★★★
Anne is absolutely incredible. I've struggled with therapy in the past, and was never able to make much progress. Through consistently seeing an Anne I've been able to make high strides in my mental health, and have made so much progress.
Elizabeth Sep 2025
Thriveworks.com verified review
★★★★★
My provider has been amazing to work with and has helped me with tools to navigate challenges more successfully. . . Thriveworks and the option for telehealth has been helpful, but I do find their scheduling policies to be too rigid for people with hectic schedules.
Read more My provider has been amazing to work with and has helped me with tools to navigate challenges more successfully. . . Thriveworks and the option for telehealth has been helpful, but I do find their scheduling policies to be too rigid for people with hectic schedules.
Jessica Sep 2025
Thriveworks.com verified review
★★★★★
I cannot say enough good things about Darian. She is great support in times of need or in times where I just need maintenance sessions to stay accountable in my journey to a better me.
Leslie Sep 2025
Thriveworks.com verified review
★★★★☆
My therapist is very patient and allows me to control the tempo of this session. She is very good at summarizing what I'm saying and reinforcing thoughtful processes.
Thomas Sep 2025
Thriveworks.com verified review
★★★★★
Brianna provides a comfortable space for you to discuss anything!
Heather Sep 2025
Thriveworks.com verified review
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Where to find us

106 Southpark Dr Suite C
Blacksburg, VA 24060

Getting here

We share a building with several other businesses including Fresenius Kidney Care Montgomery County, the Islamic Center of Blacksburg, and Thermostats Service and Repair Company. Next door to us Robinson, Farmer, and Cox Associates, an account service. Nearby is also a Courtyard by Marriott hotel and Park Commercial Realty.

Phone number

(540) 361-6270

Languages spoken by VA providers

  • English
  • Spanish
Friday 8:00am - 9:30pm
Saturday 8:00am - 9:30pm
Sunday 8:00am - 9:30pm
Monday 8:00am - 9:30pm
Tuesday 8:00am - 9:30pm
Wednesday 8:00am - 9:30pm
Thursday 8:00am - 9:30pm

Shown in ET

Friday 8:00am - 11:59pm
Saturday 8:00am - 6:00pm
Sunday 8:00am - 6:00pm
Monday 8:00am - 11:59pm
Tuesday 8:00am - 11:59pm
Wednesday 8:00am - 11:59pm
Thursday 8:00am - 11:59pm

Shown in ET

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