What does it actually look like to grow a group practice across multiple locations?

In this episode, I'm joined by Todd Call, co-owner of Triology, a Christian counseling group practice based in Kalispell, Montana. Todd has nearly three decades of experience as a therapist, and today his work focuses on visionary leadership and building organizations that help people thrive.

Todd shares how Triology began with a simple conversation between two therapists whose caseloads were full and whose waiting lists kept growing. Instead of continuing to turn people away, they started asking a bigger question: What would it look like to keep saying yes to the people who need help? That question eventually led them to hire therapists, expand their team, and build a practice that now serves multiple communities across Montana.

We talk through what it's really like to grow beyond a single office. Todd shares the early days of running two locations, navigating long travel distances between towns, and figuring out how to keep a team connected when people aren't working under the same roof.

Todd also opens up about the leadership shifts that came with growth. Early on, he realized that simply having an open-door policy wasn't enough to support a growing staff. As the practice expanded, he and his partner had to create more structure, strengthen their leadership systems, and clarify the mission driving their work.

We also discuss how faith plays a role in Triology's mission and how Todd and his team partner with churches and communities to support mental health in a holistic way.

In this episode, we discuss:

Why does expanding to a new location often require a completely different marketing strategy
The leadership changes that happen when a practice grows beyond one office
How culture evolves when teams are spread across multiple locations
What Todd learned after losing $40,000 in early billing mistakes
Why staying connected in person still matters when managing a growing team

If you're thinking about opening a second location or wondering what it takes to scale a practice across cities or states, this conversation will give you a realistic look at the opportunities and challenges that come with expansion.

13:06 Early Multi-Location Challenges: Mileage, Meetings, And Systems 15:22 Traction + The Shift To Real Leadership Systems And A Bigger Vision 17:00 Faith In The Practice: Helping People Thrive (Mind, Body, Soul) 19:12 Current Setup: Four Locations And How They're Structured 20:04 Big Warning: Marketing Changes When You Expand Past An Hour 22:35 Keeping Culture Strong: In-Person Training, Weekly Supervision, Travel 24:19 Billing Lessons: $40K Mistake And Why In-House Billing Matters 26:14 Microcultures Are Real: How To Scale Without Losing Your Values 29:12 Why Todd Joined Wise Practice (And What He Gets From Community)

Free Webinar March 24th @ 12:00 PM

If you've ever looked at your calendar and thought, "I know I'm a good therapist… so why isn't my caseload fuller?" — you're not alone.

Many of us were trained to provide excellent clinical care, but we were never taught how to consistently generate referrals or build a steady financial foundation. And when your caseload is inconsistent, it's not just frustrating — it can create real stress around income and stability.

I'm Whitney Owens — private practice consultant and owner of a thriving private-pay group practice — and I'm hosting a free live training called "Why Your Caseload Isn't Full (Even Though You're a Great Therapist)" on Tuesday, March 24th at 12:00 PM Eastern.

In this webinar, I'll walk you through the five key areas that determine whether your practice feels steady or unpredictable — and what you can begin adjusting immediately to create a more consistent, sustainable caseload.

If you're a solo or group practice owner ready to stop guessing and start building with confidence, I'd love for you to join me.

Go to wisepracticeconsulting.com/events to register. I'll see you on March 24th at noon Eastern.

Meet Todd Call, MS, LMFT LCPC

Todd is the co-owner of Thrivology, a Christian group practice based in Kalispell, Montana. Todd has 29 years experience as a therapist, and is now focused on the visionary leadership of people and organizations. He is married with 7 children and 7 pets, so please pray for his wife!

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