12-Step Programs in Kentucky
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 223 12-step programs across Kentucky, with the largest concentrations in Lexington (26), Louisville (25) and Elizabethtown (11).
12-Step Programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) provide peer support, structured recovery framework, and proven principles for lasting sobriety. Many treatment centers integrate 12-step facilitation into their programs.
Treatment landscape in Kentucky:
- Kentucky Medicaid covers addiction treatment services
- Specialized programs addressing opioid epidemic
- Rural and urban treatment accessibility
- Strong peer support networks
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12-step programs in Kentucky
Lexington · 26 centers

Altruism Counseling Services
Lexington, KY
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Changed Lives Mental Health and
Lexington, KY
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Changed Lives Substance
Lexington, KY
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DeNova
Lexington, KY
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Hope Center
Lexington, KY
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JourneyPure
Lexington, KY
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New Vista
Lexington, KY
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PATHways Program UK Healthcare
Lexington, KY
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Roaring Brook Recovery
Lexington, KY
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Hope Center
Lexington, KY
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Hope Center
Lexington, KY
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New Vista
Lexington, KY
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Shepherds House Inc
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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Windows of Discovery
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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Louisville · 25 centers
Beacon House Aftercare Program Inc
Louisville, KY
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Creative Spirits Behav Service Network
Louisville, KY
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Healing Place
Louisville, KY
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JourneyPure
Louisville, KY
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Landmark Recovery of Louisville
Louisville, KY
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ReMind Health Group
Louisville, KY
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UofL Health
Louisville, KY
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VOA Recovery
Louisville, KY
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VOA Recovery
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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VOA Addiction Recovery Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Brook Hospital
Louisville, KY
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Dave Harmon and Associates Inc
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Healing Place
Louisville, KY
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Life Management Inc
Louisville, KY
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Seven Counties Services
Louisville, KY
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Elizabethtown · 11 centers

JourneyPure Bowling Green
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Stepworks of Elizabethtown
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Commitment House LLC
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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reNest
Elizabethtown, KY
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Louisa · 9 centers

Addiction Recovery Care (ARC)
Louisa, KY
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Bowling Green · 8 centers

Fuller Life Counseling Partners
Bowling Green, KY
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JourneyPure
Bowling Green, KY
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Greater Hope Counseling Services LLC
Bowling Green, KY
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Stepworks of Bowling Green
Bowling Green, KY
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LifeSkills Inc
Bowling Green, KY
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Rivendell Behavioral Health Services
Bowling Green, KY
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Morehead · 8 centers

New Journey
Morehead, KY
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Edgewater Mens Campus
Morehead, KY
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Pathways Inc
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Recovery
Morehead, KY
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Revived Recovery Transitional Care
Morehead, KY
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Hopkinsville · 7 centers

Pennyroyal Center
Hopkinsville, KY
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Redeemed and Restored
Hopkinsville, KY
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Cumberland Hall Hospital
Hopkinsville, KY
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Pennyroyal Center
Hopkinsville, KY
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Trilogy Center for Women
Hopkinsville, KY
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Pennyroyal Center
Hopkinsville, KY
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Pennyroyal Center
Hopkinsville, KY
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Ashland · 6 centers

Infinity Center LLC
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Owensboro · 6 centers

TrueNorth Treatment Center
Owensboro, KY
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Boulware Mission Inc
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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Hazard · 4 centers

Kentucky River Community Care Inc
Hazard, KY
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Kentucky River Community Care Inc
Hazard, KY
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Beacons of Hope
Hazard, KY
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London · 4 centers

Recovery Works
London, KY
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Stepworks Recovery Centers
London, KY
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Cumberland River Behavioral Health
London, KY
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Windows of Discovery
London, KY
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Nicholasville · 4 centers

Revive Ministries Inc
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Prestonsburg · 4 centers

Commonwealth Counseling Centers
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Mountain Comprehensive Care Center
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Saint Catharine · 4 centers

Addiction Recovery Care Crown Recovery
Saint Catharine, KY
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Fort Mitchell · 3 centers

Transitions Inc
Fort Mitchell, KY
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Grayson · 3 centers

Grayson Integrated Clinic
Grayson, KY
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Pathways Inc
Grayson, KY
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Pathways Inc
Grayson, KY
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Shelbyville · 3 centers

Creative Spirits
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Bardstown · 2 centers

Astra Recovery Centers LLC
Bardstown, KY
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Central City · 2 centers

A New Start II LLC
Central City, KY
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Chaplin · 2 centers

Isaiah House
Chaplin, KY
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Isaiah House
Chaplin, KY
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Cynthiana · 2 centers

New Vista
Cynthiana, KY
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Deborah Spicer LCSW LCADC
Cynthiana, KY
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Greenup · 2 centers

Pathways Inc
Greenup, KY
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Pathways Inc
Greenup, KY
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Greenville · 2 centers

Pennyroyal Center
Greenville, KY
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Henderson · 2 centers

ADAPT Psychology Inc
Henderson, KY
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RiverValley Behavioral Health
Henderson, KY
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Inez · 2 centers

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Lancaster · 2 centers

Mountain Comprehensive Care
Lancaster, KY
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Maysville · 2 centers

Comprehend Inc
Maysville, KY
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New Hope Community Services
Maysville, KY
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Mount Sterling · 2 centers

Shepherds Shelter/Ross Rehab
Mount Sterling, KY
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Pathways Inc
Mount Sterling, KY
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Munfordville · 2 centers

Twin Lakes Counseling Services
Munfordville, KY
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LifeSkills Inc
Munfordville, KY
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Paducah · 2 centers

Emerald Therapy Center LLC
Paducah, KY
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Mountain of Hope
Paducah, KY
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Shepherdsville · 2 centers

Seven Counties Services
Shepherdsville, KY
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Somerset · 2 centers

Windows of Discovery Inc
Somerset, KY
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Willisburg · 2 centers

Isaiah House
Willisburg, KY
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Isaiah House
Willisburg, KY
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Winchester · 2 centers

New Leaf Recovery and Wellness
Winchester, KY
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Mountain Comprehensive Care Center
Winchester, KY
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Albany · 1 center

Foothills Academy Inc
Albany, KY
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Ashcamp · 1 center
Beaver Dam · 1 center

RiverValley Behavioral Health
Beaver Dam, KY
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Benham · 1 center
Benton · 1 center
Booneville · 1 center
Bronston · 1 center

Sunrise Childrens Services
Bronston, KY
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Brownsville · 1 center

LifeSkills Inc
Brownsville, KY
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Burlington · 1 center

Ethan Health
Burlington, KY
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Calhoun · 1 center
Campbellsville · 1 center
Carrollton · 1 center
Catlettsburg · 1 center
Corbin · 1 center

Cumberland River Behavioral Health
Corbin, KY
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Covington · 1 center

Saint Elizabeth Physicians
Covington, KY
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Danville · 1 center
Edmonton · 1 center

LifeSkills Inc
Edmonton, KY
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Flemingsburg · 1 center

Comprehend Inc
Flemingsburg, KY
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Florence · 1 center

Recovery Defined LLC
Florence, KY
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Frankfort · 1 center

Deaton and Deaton Csl and Consulting
Frankfort, KY
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Franklin · 1 center

Peaceful Solutions Counseling Services
Franklin, KY
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Georgetown · 1 center

Deaton and Deaton Csl and Consulting
Georgetown, KY
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Hagerhill · 1 center
Harrodsburg · 1 center

Isaiah House
Harrodsburg, KY
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Kirksey · 1 center

Neartown Inc
Kirksey, KY
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La Grange · 1 center

Seven Counties Services
La Grange, KY
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Leitchfield · 1 center

Twin Lakes Counseling Services
Leitchfield, KY
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Lewisport · 1 center

RiverValley Behavioral Health
Lewisport, KY
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Madisonville · 1 center

Pennyroyal Center
Madisonville, KY
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Manchester · 1 center

Volunteers of America Mid States
Manchester, KY
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Mayfield · 1 center

Four Rivers Behavioral Health
Mayfield, KY
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Monticello · 1 center

Foothills Academy Inc
Monticello, KY
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Morganfield · 1 center

RiverValley Behavioral Health
Morganfield, KY
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Morgantown · 1 center
Murray · 1 center

Emerald Therapy Center LLC
Murray, KY
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Nancy · 1 center

Gratitude Adjustment
Nancy, KY
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Neon · 1 center
Owenton · 1 center
Owingsville · 1 center
Paris · 1 center

New Vista
Paris, KY
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Pikeville · 1 center
Pippa Passes · 1 center
Princeton · 1 center

Pennyroyal Center
Princeton, KY
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Providence · 1 center

RiverValley Behavioral Health
Providence, KY
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Richmond · 1 center

Athena Womens Behavioral Health
Richmond, KY
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Rush · 1 center

Ramey Estep Homes
Rush, KY
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Salyersville · 1 center

Mountain Comprehensive Care Center
Salyersville, KY
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Scottsville · 1 center
South Shore · 1 center

Recovery Works
South Shore, KY
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Taylorsville · 1 center

Seven Counties Services
Taylorsville, KY
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Tompkinsville · 1 center

LifeSkills Inc
Tompkinsville, KY
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Tyner · 1 center
Vanceburg · 1 center

Comprehend Inc
Vanceburg, KY
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Versailles · 1 center

Isaiah House
Versailles, KY
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Kentucky Medicaid
Kentucky Medicaid covers MAT without prior authorization and reimburses for peer-support services delivered alongside medication.
State regulations
Kentucky was an early adopter of statewide MAT expansion and operates a network of Office-Based Opioid Treatment (OBOT) providers in addition to OTPs.
- Cash or self-payment208
- Medicaid197
- Private health insurance170
- Medicare114
- State-financed health insurance plan other than Medicaid114
- Federal, or any government funding for substance use treatment programs92
- Outpatient170
- Regular outpatient treatment158
- Intensive outpatient treatment133
- Residential/24-hour residential108
- Outpatient methadone/buprenorphine or naltrexone treatment93
Frequently Asked Questions About 12-Step in Kentucky
Do I have to be sober to attend my first 12-step meeting?
No. AA and NA welcome newcomers who are still using; the only requirement is a desire to stop. Members are simply asked not to attend intoxicated to the point of disruption. Kentucky meetings have greeters who help newcomers feel welcome.
How often should I attend 12-step meetings?
Newcomers are often advised "90 meetings in 90 days" to build momentum. In the long run, attendance frequency depends on personal need. Many long-term members attend 1–3 meetings per week; in Kentucky major metros like Lexington meetings run 7 days a week.
Can I change sponsors in Kentucky?
Yes. You can change sponsors at any time for any reason — sponsor-sponsee fit is personal. Finding the right sponsor sometimes takes a few tries. Kentucky meetings are full of members available for sponsorship; ask again and again until you find a good match.
Has research studied 12-step for fentanyl or newer opioid problems?
Yes — NA meetings include many members recovering from fentanyl and other potent opioids. Research consistently shows that peer support combined with medication-assisted treatment provides the strongest outcomes for opioid use disorder, including fentanyl.
What alternatives to 12-step exist in Kentucky?
Non-12-step alternatives include SMART Recovery, Women for Sobriety, Refuge Recovery, Secular Organizations for Sobriety (SOS), and LifeRing. Most are available in Kentucky both in-person and online; SMART Recovery has the widest Kentucky footprint after AA and NA.
Are 12-step meetings recorded in Kentucky?
No. Video, audio, or photo recording of meetings is prohibited by tradition — including on online meetings, where members use display names and typically keep cameras off. Kentucky meetings strictly enforce this; recording violates the anonymity principle.
Can I count recovery time differently in 12-step if I’m on MAT?
Tradition-based groups typically count recovery days from the last illicit substance use, regardless of MAT status. MARA groups count recovery inclusive of prescribed MAT. Kentucky members should discuss counting conventions with their sponsor and group.
How much does 12-step cost in Kentucky?
Nothing. 12-step fellowships are free. Members make voluntary "7th Tradition" contributions ($1–$5 per meeting is typical) to cover rent and refreshments — but contributions are voluntary and no one is refused for not paying.
What if I’m travelling — can I still attend my home Kentucky group online?
Yes. Many Kentucky groups run hybrid meetings (in-person plus online simultaneously). Hybrid formats let traveling members stay connected with their home-group regardless of location. Verify hybrid availability on the group’s website.
What should I bring to my first 12-step meeting in Kentucky?
Just yourself. No paperwork, ID, or fees are needed. Comfortable clothing, a notebook if you want to take notes, and a pen for contact information of sponsors or members willing to help. Arrive 10 minutes early to meet members.
Other Treatment Options in Kentucky
12-Step Programs in Other States
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