In this episode, Justin sits down with Joe, a psychiatric nurse practitioner who has built a thriving telehealth practice serving patients across Massachusetts. With a full caseload, strong patient retention, and a business he genuinely enjoys running, Joe is now focused on a different challenge: figuring out what comes next. 

Together, they explore strategies for scaling beyond the solo provider model, including hiring additional clinicians, creating concierge-style offerings, and introducing complementary services that can add value for patients while creating new revenue opportunities. They also discuss the realities of delegation, practice valuation, and what it takes to build a business that can continue growing without relying entirely on the owner's time. 

If you've already built a solid practice and are wondering how to create more freedom, more scalability, and more long-term opportunity, this episode offers a practical look at the decisions that can help get you there.