Notice of Privacy Practices
Therapy By You 2025 Notice of Privacy Practices
Effective Date: August 2, 2025
Practice: Therapy By You, LLC
Mailing Address: 1098 Ann Arbor Rd W, Suite 595, Plymouth, MI 48170
Physical Address: 31600 Telegraph Road, Suite 280, Bloomfield, MI 48025
Phone: 248‑919‑8092
Email: mike@therapybyyou.com
Privacy Officer: Mike Shihadeh (Limited Licensed Counselor #6451023262)
Purpose of This Notice
This Notice of Privacy Practices explains how we may use and share your protected health information (PHI) and describes your rights under the Health Insurance Portability and Accountability Act (HIPAA). HIPAA is a federal law that protects the privacy of your health information and gives you rights over that information. We
are required by law to keep your PHI private, to provide you with this notice, and to follow the terms of this notice.
Your Rights
You have several rights regarding your mental‑health record. To exercise any of these rights, please contact the Privacy Officer listed above.
- Right to Get a Copy of Your Record. You may ask to see or get a copy of your record. We will provide copies in paper or electronic form, usually within 30 days of your request. We may charge a reasonable fee for costs such as copying or mailing.
- Right to Request Corrections. If you believe your record is wrong or incomplete, you may ask us to correct it. We may say “no” if the record is already accurate and complete, but we will explain the reason in writing.
- Right to Request Confidential Communications. You may ask us to contact you in a specific way (e.g., at a different phone number or address). We will say “yes” to all reasonable requests.Â
- Right to Request Restrictions. You may ask us not to use or share certain PHI. We are not required to agree to all requests, but if we do agree we will comply unless the information is needed to provide emergency care.
- Right to a Paper Copy of This Notice. You may ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.
- Right to Choose Someone to Act for You. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.
- Right to File a Complaint. If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint. Contact information for HHS is provided below.
Our Uses and Disclosures
We typically use or share your PHI in the following ways:
- Treatment. We can use your PHI and share it with other professionals who are treating you, such as when we consult with another therapist. We do not share any information unless you have signed a release, except in emergencies or as required by law.
- Run Our Practice. We use PHI to run our practice, improve quality of care and contact you as needed.
For example, we use SimplePractice (a secure, HIPAA‑compliant electronic health record) to schedule appointments. We have a Business Associate Agreement in place with SimplePractice. - Payment. We use PHI to bill and collect payment. Therapy By You is a cash‑pay practice ,currently; we
do not bill insurance. Your credit card may be charged for session fees and late cancellations. We may
share limited information with our payment processor so we can collect fees. - Public Health and Safety. We may share PHI to prevent serious harm to you or others or to report abuse or neglect as required by law totalmedicalcompliance.com. We may share information with law
enforcement or a court when required to respond to a subpoena or court order. - Legal Compliance. We may share PHI if federal or state laws require it, such as for health‑oversight
activities or to avert a serious and reasonably foreseeable threat. - Other Uses With Your Authorization. We will not use or share your PHI for marketing, sales, or any other purpose not described in this notice unless you give us written permission. You may revoke that permission at any time.
Our Responsibiltiies
We are required to:
- Maintain the privacy and security of your PHI.
- Notify you if a breach occurs that may compromise the privacy or security of your information.
- Follow the duties and privacy practices described in this notice and give you a copy.
- Not disclose more information than is necessary for the stated purpose (“minimum necessary” standard).
Changes to This Notice
We may change the terms of this notice at any time. The new notice will apply to all PHI we maintain and will
be available on our website or upon request. We will post the new notice in our office and on our website.
Questions or Complaints
If you have questions about this notice or believe your privacy rights have been violated, please contact our
Privacy Officer (Mike Shihadeh) at 248‑919‑8092 or mike@therapybyyou.com.
Should you have reservations or concerns regarding the services provided, you are encouraged to direct your complaints to:
Michigan Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing
Investigations & Inspections Division
P.O. Box 30670
Lansing, MI 48909
(517) 241-0205
LARA (Licensing and Regulatory Affairs)
https://aca-prod.accela.com/MILARA/Cap/CapApplyDisclaimer.aspx?
module=Enforcement&TabName=Enforcement&FilterName=Complaints
Kindly note, this contact is exclusively for lodging complaints pertaining to my counseling services.
We will not retaliate against you for filing a complaint.
Policy Updated:Â 08-10-2025
