Texas has become one of the busiest states for pediatric therapy. Families are moving here in record numbers, and school districts and home health agencies are racing to keep up with demand. For speech-language pathologists (SLPs), that creates an opportunity: more jobs, better choices, and the ability to build a career on your terms.
But not every agency is the same. Some focus on stability, others on flexibility, and some on deep family-centered care. Here are five agencies that consistently stand out if you’re serious about finding the right fit.
Why Work With an Agency Instead of Going Solo?
Plenty of SLPs try the independent route, but agencies come with benefits that are hard to match:
- Steady caseloads – Agencies handle referrals, so you’re not scrambling to find clients.
- Built-in mentorship – Experienced therapists and supervisors guide your early career.
- Insurance coverage – Many agencies offer health, dental, and liability insurance.
- Mileage reimbursement – If you travel for home visits, agencies often cover the costs.
- Continuing education – CEUs, training, and in-house workshops help you grow.
- Team support – You’re not isolated; you get colleagues, admin support, and shared resources.
- Smoother transition for new grads – Structure and guidance make grad school less overwhelming to practice.
1. Therapy 2000 (T2000)
Therapy 2000 has been a leader in pediatric home health in Texas for over two decades. Their model is straightforward: bring therapy to kids where they feel most comfortable, at home or in daycare. For SLPs, that translates into meaningful, family-centered work with children who need support in speech, language, and communication.
What sets T2000 apart is the balance of scale and support. They’re big enough to offer resources like flexible scheduling, CEU opportunities, mentorship, and administrative help, yet they still keep a mission-driven culture that feels personal.
With offices and opportunities in Dallas/Fort Worth, Houston, San Antonio, Austin, and beyond, T2000 is the go-to choice if you’re looking for an SLP job in a Texas network with a mission-driven culture.
2. Aveanna Healthcare
Aveanna is one of the largest pediatric home health providers in the country, and in Texas, its footprint is huge. Unlike smaller agencies, Aveanna gives SLPs a choice of work settings: home health, outpatient clinics, and school partnerships. That variety makes it a strong option for therapists who don’t want to be locked into a single path.
They also bring the advantages of scale: competitive salaries, full benefits, sign-on bonuses, and structured career ladders. If you see yourself moving into a leadership or supervisory role over time, Aveanna has the infrastructure to get you there.
3. Angels of Care Pediatric Home Health
Angels of Care is built around one mission: serving children with special needs. For SLPs, that means working with kids who have medically complex conditions or significant developmental challenges, work that can be both demanding and incredibly rewarding.
What makes them appealing as an employer is their investment in staff: mentorship programs for new grads, CEU assistance, flexible schedules (full-time, part-time, PRN), and a family-first culture. If you’re looking for purpose-driven work where you can see immediate impact, Angels of Care is a strong choice.
4. MGA Homecare
MGA Homecare appeals to therapists who want the independence of setting their own schedule but don’t want the uncertainty of private practice. Their pediatric home health model gives SLPs autonomy in managing caseloads, paired with the backing of a supportive company.
They offer competitive pay, mileage reimbursement, and often sign-on bonuses. It’s a solid fit for therapists who want work-life balance without sacrificing stability.
5. Boomtown Therapy
For SLPs who prefer working in education, Boomtown Therapy is worth watching. They specialize in staffing school districts across Texas with speech-language pathologists, diagnosticians, and interpreters. Their team also offers teletherapy, making it possible to work remotely.
Because they’re therapist-owned, the culture tends to be more supportive than corporate. They also provide supervision and leadership pathways, which is a big plus for SLPs who eventually want to mentor others.
Finding the Best Fit for Your Career
Choosing the right path as an SLP in Texas comes down to finding the balance between professional growth, work-life flexibility, and meaningful patient impact. Whether you’re just starting or looking to expand your experience, opportunities exist across home health, schools, clinics, and teletherapy. The key is to evaluate what matters most to you: caseload, mentorship, schedule, and the type of population you want to serve, and make your move with confidence.
