Most practice owners reach a point where the problem isn't clinical skill. It's knowing what to build next, how to manage a team they never trained to lead, or whether the model they've been running still makes sense. Practice Muse coaching addresses that directly — through two tracks, delivered by two people who come from different but complementary backgrounds.
The MUSE method is the four-phase arc that every coaching client moves through — from understanding where the practice is, to making it work better and grow with intention.
We identify where the practice actually is — what's working, what isn't, and what decisions or systems are blocking progress. No assumptions before the picture is clear.
Coaching surfaces what the practice needs to become — not just what needs fixing today. This is where direction gets set before any execution begins.
Systems, workflows, staff clarity, and operational foundations get built. Coaching keeps the execution aligned with the direction set in the previous phase.
Once the structure is running, coaching picks back up. The question shifts from fixing what's broken to deciding where the practice goes from here.
The tracks are separate because the problems they address are separate. Most practice owners need one or the other. Some, especially group practice owners mid-growth, need both running at the same time.
Clinical Director & Executive Coach
For the decisions that sit above operations — where clinical background and business judgment both matter.
Dr. Tom works with practice owners on the questions that don't have easy operational answers. Whether you're a solo therapist reconsidering your caseload structure, a group owner whose leadership role has outgrown your training, or someone trying to figure out if growth is actually what you want — these are the conversations he's built for.
His background is clinical and executive, which means he engages with the full weight of what it means to run a mental health practice from the inside. Not as an outside consultant offering business frameworks, but as someone who understands the clinical culture, the ethical complexity, and the personal cost of building something in this field.
Sessions typically cover
Practice Operations Coach & Healthcare Administrator
For how the practice actually runs — workflows, staff, systems, and the admin that keeps falling back on you.
Neil works with practice owners on the operational reality of running a mental health practice day to day. If your admin is still held together manually, your staff don't have clear roles, your VA isn't being used effectively, or you've been meaning to document your workflows for the past year — that's where this track starts.
With a background in healthcare management and administration, the approach here is systems-first. Not generic small business advice, but the specific operational complexity of a therapy practice — HIPAA-conscious workflows, EHR structure, billing handoffs, staff onboarding, and front-office coordination that stops the practice from leaking clients, revenue, and your time.
Sessions typically cover
Every engagement integrates both tracks — clinical & executive advisory and practice operations — coordinated under a single monthly retainer, billed month-to-month with no intake or setup fees. Pause or cancel anytime with 30 days notice.
Both Tracks · Integrated
Get Clear & Organized
$850 / month
Two coordinated tracks · one retainer
Both Tracks · Integrated
Lead & Scale
$1,500 / month
Two coordinated tracks · one retainer
All coaching clients go through a short intake before the first session — about 20 minutes — to confirm which track fits and what the first few sessions should address. You don't need to know exactly what you need before that call.
Discovery call or onboarding intake
New clients enter through the discovery call, through Practice Muse onboarding, or by booking the coaching intake directly. All three routes end up in the same place — a short conversation to confirm track fit before month one begins.
Track assigned, first session scheduled
Based on the intake, you're connected to the right coach — or both, if the situation calls for it. Sessions are 50 minutes by video, scheduled to a fixed cadence each month.
Session summary and action plan
After each session you receive a written summary and a clear action plan for what to address before the next call. No vague takeaways. The session should move something in the practice, not just feel productive.
No commitment before the intake. We'll confirm track fit, answer questions, and make sure coaching is the right next step before any retainer starts.