About Nexa Speech Concierge Nexa Speech Concierge is a clinician-owned speech therapy practice providing skilled, in-home adult and geriatric speech therapy services across Florida’s Treasure Coast, Palm Beach region, and surrounding communities. We serve adults with dysphagia, cognitive-communication disorders, aphasia, dysarthria, voice concerns, neurogenic communication disorders, dementia-related communication needs, and other medically based speech therapy needs.