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

Living on Incline

Jan 8, 2026

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.

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/](https://one-eightycounseling.com/)

Comments (1)

clkandjlk@yahoo.com
1d ago

Excellent interview with information about Christian therapy in the Triangle area, especially Johnston County. Impressed with the dedication of Sarah Coates to provide these services with professional staff.

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