In this episode of the Wise Practice Podcast, I'm excited to welcome my dear friend and trusted colleague, Alison Pidgeon. Alison is the founder and CEO of Move Forward Counseling, a thriving multi-location practice in Pennsylvania with eight offices and more than 65 clinicians. I've had the joy of watching her grow from a single-location practice to a seven-figure business, and her insights on scaling are truly invaluable.

Before we dive in, I share a quick story about a long-running joke between us—our shared dream of owning hot tubs. Alison bought hers years ago; I kept putting it off. And then, in the most unexpected way, I ended up being gifted a blow-up baptism hot tub from our church. It felt like the perfect metaphor for business growth: sometimes the things we hesitate on finally come together in surprising ways.

Today, Alison and I talk about what practice owners often get wrong when scaling, how to hire and retain strong clinicians, when to invest in leadership, and why delegation is essential if you want to grow to seven figures without burning out.

If you're dreaming of a bigger practice—or wondering what sustainable scaling really looks like—you're going to love this conversation.

06:22 From One Location to Eight 07:48 Common Pitfalls When Scaling 10:17 What It Takes to Reach Seven Figures 11:57 When to Hire HR 14:41 Hiring Therapists Who Stay 17:33 Values-Based Hiring 18:09 The Power of Delegation 22:47 Investing Before You're Ready 23:29 Why Bigger Doesn't Mean More Work 24:48 Systems, Bonuses & Accountability 27:49 Building Connection Across Locations

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