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David Lechnyr, LCSW

Business optimization consultant for mental health practices

David Lechnyr, LCSW

Most therapists are good clinicians but struggle with the business of running a clinic. They waste time on things that don’t generate revenue, tolerate inconsistent attendance policies that cost them thousands, and run their practices “by the seat of their pants” without realizing how much money they’re leaving on the table.

I work with group practices and solo practitioners to optimize their business models, eliminate wasted effort, and build practices that are both profitable and sustainable.

In other words, I’m a business optimization consultant for mental health practices. I help mental health practices make more money by fixing what’s broken and focusing on what actually moves the needle.

Who I Work With

Group Practice Owners

You’ve built a practice, hired therapists, but can’t figure out why you’re not making the money you should be. Or you’re making money but burning out trying to keep everything together.

Pre-Licensed Clinicians (hired by group practices)

Your employer hires me as a resource to help you navigate ethics, professional development, and clinical effectiveness. As a result, you end up seeing more clients, document efficiently, and progress toward licensure without wasting time.

Solo Practitioners

You’re good at therapy but struggling with the business side: Pricing, insurance decisions, concerns over clinical skill development, or how to actually make your work sustainable.

What I Fix

Revenue Leaks

Inconsistent no-show policies, unclear cancellation procedures, or therapists doing unpaid work.

Business Model Problems

Session-by-session chaos, insurance panel decisions, pricing that undervalues your work, lack of clear service structure.

Operational Inefficiency

Therapists wasting time on things that don’t move the needle (endless marketing for clients, not being able to keep a stable caseload, anxiety over documentation standards, chasing insurance reimbursement). No clear policies and procedures. Everything done “by feel” instead of by system.

Clinical Team Development (for group practices)

Pre-licensed therapists who don’t know if they’re effective, struggle with documentation, can’t get clients to commit, or need guidance on ethics and professional standards. I help you fix the business problems that are costing you money and burning you out right now.

For those seeking information about my clinical work, please visit therapydave.com

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