#011 The Entrepreneurial Itch: Building a Multi-Location Therapy Empire | Sarah Coates episode artwork

EPISODE · Jan 8, 2026 · 1H 2M

#011 The Entrepreneurial Itch: Building a Multi-Location Therapy Empire | Sarah Coates

from Living on Incline · host Living on Incline

In this episode of Living on Incline, host John Eklund sits down with Sarah Coates, the visionary founder of **One-Eighty Counseling**. While many see her as a gifted clinician, this conversation peels back the curtain on the "entrepreneurial itch" that drove her to leave the security of a school counseling career to build a mental health empire.Sarah shares the raw reality of "going rogue," the dopamine rush of taking risks, and her unique "Pinball Machine" theory on how God steers us back on track even when we feel lost. We also dive into her powerful concept of the **"Reputation Rescue"**—the belief that while society may label you, God is the one who truly knows and protects your name.Connect with Sarah Coates:One-Eighty Counseling: https://one-eightycounseling.com/The Turn Your Life Around Podcast: https://www.theturnyourlifearoundpodcast.com/**00:00** – The Entrepreneurial Itch: Why therapists "go rogue."**03:20** – The "Pinball Machine" Theory: How God corrals us toward our purpose.**07:45** – Leaving the school system: Starting a private practice with no Plan B.**14:10** – High School & Identity: Choosing a path when you don’t have it all figured out.**21:30** – The Advertising Pivot: How a communications background shaped a CEO.**30:55** – Handling the Risk: Why entrepreneurs crave the "Dopamine Rush."**41:40** – The Reputation Rescue: Why God knows the "real you" despite the labels.**47:15** – Lessons from the Atlanta Braves: Looking at professional release through a "trauma lens."**53:50** – Recovering People Pleasers: The connection between counseling and codependency.**58:05** – Building the Empire: Scaling One-Eighty Counseling and adding IOP services.**01:00:50** – Final Thoughts: How to reach out and start your own 180-degree turn.#LivingOnIncline #JohnEklund #SarahCoates #OneEightyCounseling #Entrepreneurship #MentalHealthBusiness #FaithAndWork #ReputationRescue #Therapy #SmallBusinessGrowth #NorthCarolina #TurnYourLifeAroundListen and Follow Living on InclineListen on your favorite platform:Apple Podcasts: https://podcasts.apple.com/us/podcast/living-on-incline/id1828304603Spotify: https://open.spotify.com/show/78HwNrRWZHGAHL8Zv90nO0?si=e4b5d032e9214debYouTube: https://www.youtube.com/channel/UCZdyfS2K4OE4WFJRWSuAgsQRSS Feed: https://feeds.buzzsprout.com/2521959.rssWebsite: https://www.livingonincline.comSponsored by Recovery AliveLiving on Incline is proudly sponsored by Recovery Alive, a Christ-centered recovery program helping people find hope, healing, and purpose through authentic community and biblical transformation.Learn more: https://www.recoveryalive.comInstagram: https://www.instagram.com/recoveryaliveinc/Facebook: https://www.facebook.com/recoveryaliveincYouTube: https://www.youtube.com/@recoveryaliveSend us Fan Mail

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In this episode of Living on Incline, host John Eklund sits down with Sarah Coates, the visionary founder of **One-Eighty Counseling**. While many see her as a gifted clinician, this conversation peels back the curtain on the "entrepreneurial itch" that drove her to leave the security of a school counseling career to build a mental health empire. Sarah shares the raw reality of "going rogue," the dopamine rush of taking risks, and her unique "Pinball Machine" theory on how God steers us back...

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#011 The Entrepreneurial Itch: Building a Multi-Location Therapy Empire | Sarah Coates

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