Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA
12-Step Programs in Texas
Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026
Our directory lists 212 12-step programs across Texas, with the largest concentrations in Houston (37), Dallas (21) and San Antonio (10).
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 Texas:
- Texas Medicaid covers substance abuse services
- Extensive treatment options across major cities
- Diverse cultural and linguistic program offerings
- Growing number of luxury treatment centers
- Specialized programs for veterans and first responders
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All 50 States
12-step programs in Texas
Filters:
Jump to city:Houston 37Dallas 21San Antonio 10Austin 8Laredo 6Abilene 5Amarillo 5Fort Worth 5El Paso 4Lubbock 4Midland 4Beaumont 3+84 more
Houston · 37 centers
Heights Treatment
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Into Action Recovery Centers
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Montrose Center
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Positive Recovery LLC
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
West Oaks Hospital LP
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Womens Home
Houston, TX
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Harris Center for MH/IDD
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Serenity Light Recovery
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Cheyenne Center Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
New Dimensions Day Treatment Centers
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Swinncomm Holdings LLC
Houston, TX
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Womens Home
Houston, TX
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alliance Risk Group LLC
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Center for Success and Independence
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Live Life Wellness Clinic LLC
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Set Free DAT Center
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dallas · 21 centers
Discovery Point Retreat
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Medical City Green Oaks Hospital
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Nexus Recovery Center Inc
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Texas Native Health
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Department of Veteran Affairs Hospital
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dallas County MHMR Center
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Menninger Solutions Outpatient Service
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatment
Your Discovery Place Inc
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Homeward Bound Inc
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dallas County MHMR Center
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Golden Gate Adult Rehab Ministry
Dallas, TX
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Cenikor Foundation
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Homeward Bound Inc
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
San Antonio · 10 centers
Blue Heron Recovery
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Center for Healthcare Services
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lifetime Recovery Treatment Centerial
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alpha Home Inc
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alpha Home Inc
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Center for Healthcare Services
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
River City Rehabilitation Center Inc
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatment
Austin · 8 centers
Central Texas VA Healthcare
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sage Recovery and Wellness Center
Austin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bee Cave Recovery
Austin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Laredo · 6 centers
Border Region Behavioral Health Center
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Serving Children and Adults in Need
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Serving Children and Adults in Need
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Serving Children and Adults in Need
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Serving Children and Adults in Need
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Serving Children and Adults in Need
Laredo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Abilene · 5 centers
Serenity Foundation of Texas
Abilene, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Stages of Recovery Inc
Abilene, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Amarillo · 5 centers
Cenikor Foundation
Amarillo, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cenikor Foundation
Amarillo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dailey Recovery Service
Amarillo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Plainview Serenity Center Inc
Amarillo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Fort Worth · 5 centers
Grace Counseling Center
Fort Worth, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Volunteers of America Texas Inc
Fort Worth, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Volunteers of America Texas Inc
Fort Worth, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
El Paso · 4 centers
El Paso Veterans Affairs Healthcare
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Harmony Road Recovery LLC
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Harmony Road Recovery LLC
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Ysleta Del Sur Pueblo
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lubbock · 4 centers
Stages of Recovery Inc
Lubbock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Plainview Serenity Center Inc
Lubbock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
StarCare Specialty Health System
Lubbock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dailey Recovery Services of Amarillo
Lubbock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Midland · 4 centers
Springboard Center
Midland, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Thriving United
Midland, TX
$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
PermiaCare
Midland, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Beaumont · 3 centers
Spindletop Center
Beaumont, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dickinson · 3 centers
Bay Area Recovery Center
Dickinson, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Georgetown · 3 centers
Arbor Behavioral Healthcare
Georgetown, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bluebonnet Trails Community Services
Georgetown, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bluebonnet Trails Community Services
Georgetown, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Odessa · 3 centers
PermiaCare
Odessa, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
PermiaCare
Odessa, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pasadena · 3 centers
Plainview · 3 centers
Plainview Serenity Center Inc
Plainview, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Plano · 3 centers
San Angelo · 3 centers
Alcohol and Drug Awareness Center
San Angelo, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Tyler · 3 centers
More Than Rehab
Tyler, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cenikor Foundation
Tyler, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Conroe · 2 centers
Corpus Christi · 2 centers
Denton · 2 centers
Texas Treatment Services LLC
Denton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Solutions of North Texas
Denton, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Garland · 2 centers
Longview · 2 centers
Community Healthcore
Longview, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Community Healthcore
Longview, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mansfield · 2 centers
Riverwalk Ranch
Mansfield, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Texas Health Recovery and
Mansfield, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
McKinney · 2 centers
Collin County MH/MR Center
McKinney, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
San Marcos · 2 centers
Sunrise Rehab and Recovery
San Marcos, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sherman · 2 centers
Texoma Community Center
Sherman, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spring · 2 centers
Temple · 2 centers
Christian Farms Treehouse Inc
Temple, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Texarkana · 2 centers
Community Healthcore
Texarkana, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Summerhill Counseling Center
Texarkana, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alice · 1 center
Angleton · 1 center
Serenity Light Recovery
Angleton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Argyle · 1 center
Sante Center for Healing
Argyle, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Arlington · 1 center
Greenhouse Outpatient Center
Arlington, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Azle · 1 center
Stonegate Center
Azle, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Baytown · 1 center
CAN Behavioral Health
Baytown, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Big Spring · 1 center
Brookshire · 1 center
Brownsville · 1 center
Eldorado Texas Community Service Ctr
Brownsville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Bryan · 1 center
Buffalo Gap · 1 center
Shades of Hope Treatment Center
Buffalo Gap, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober home
Canton · 1 center
Sundown Ranch Inc
Canton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Canyon Lake · 1 center
Windmill Wellness Ranch
Canyon Lake, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Cedar Park · 1 center
Bluebonnet Trails Community Services
Cedar Park, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Center Point · 1 center
Starlite Recovery Center
Center Point, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Cleburne · 1 center
Pecan Valley Centers for
Cleburne, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Corsicana · 1 center
Crockett · 1 center
Burke Mental Health
Crockett, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Deer Park · 1 center
Cenikor Foundation
Deer Park, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Elgin · 1 center
Renewal Lodge by Burning Tree
Elgin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Ennis · 1 center
Discovery Point Retreat
Ennis, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Frisco · 1 center
Granbury · 1 center
Pecan Valley Centers for
Granbury, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Grand Prairie · 1 center
Greenhouse Treatment Center
Grand Prairie, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Grapevine · 1 center
Valley Hope of Grapevine
Grapevine, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Greenville · 1 center
Hempstead · 1 center
Humble · 1 center
Hunt · 1 center
La Hacienda Treatment Center
Hunt, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Irving · 1 center
Jarrell · 1 center
Bluebonnet Trails Community Services
Jarrell, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Katy · 1 center
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kaufman · 1 center
Burning Tree Recovery Ranch
Kaufman, TX
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Kingsville · 1 center
Lewisville · 1 center
Grace Counseling Center
Lewisville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lockhart · 1 center
Bluebonnet Trails Community Services
Lockhart, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lufkin · 1 center
Burke
Lufkin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Manor · 1 center
New Hope Ranch
Manor, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mesquite · 1 center
Remedy Addictions Counselors Inc (RAC)
Mesquite, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mineral Wells · 1 center
Pecan Valley Centers for
Mineral Wells, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Nacogdoches · 1 center
Burke Mental Health
Nacogdoches, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
New Braunfels · 1 center
River City Rehabilitation Center Inc
New Braunfels, TX
Insurance Accepted$$
Services:
Substance use treatment
North Richland Hills · 1 center
MH/MR of Tarrant County
North Richland Hills, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Orange · 1 center
Spindletop Center
Orange, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Port Arthur · 1 center
Spindletop Center
Port Arthur, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Porter · 1 center
WestBridge Recovery Center
Porter, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Princeton · 1 center
Richardson · 1 center
Methodist Richardson Medical Center
Richardson, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
San Benito · 1 center
Serving Children and Adults in Need
San Benito, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
South Padre Island · 1 center
Origins Recovery Centers
South Padre Island, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Southlake · 1 center
Spicewood · 1 center
Positive Recovery LLC
Spicewood, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Terrell · 1 center
Lakes Regional MH/MR Center
Terrell, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
The Colony · 1 center
Homeward Bound Inc
The Colony, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Tomball · 1 center
Victoria · 1 center
Billy T Cattan Recovery Outreach
Victoria, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Waco · 1 center
Stages of Recovery Inc
Waco, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Waelder · 1 center
Banyan Texas LLC
Waelder, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wallis · 1 center
Orchard on the Brazos Recovery
Wallis, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Waxahachie · 1 center
Discovery Point Retreat
Waxahachie, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Weatherford · 1 center
Pecan Valley Centers for
Weatherford, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wichita Falls · 1 center
The Recovery Center
Wichita Falls, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wimberley · 1 center
TRS Promises Behavioral Care Inc
Wimberley, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Woodville · 1 center
Cypress Lakes Lodge
Woodville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Coverage & Regulations in Texas
Texas Medicaid
Texas Medicaid covers buprenorphine and naltrexone for eligible adults; methadone for OUD is reimbursed at licensed Narcotic Treatment Programs.
State regulations
Texas Health and Human Services Commission licenses NTPs under 25 TAC §229; the state operates a grant-funded Targeted Opioid Response (TOR) network.
SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance
- Cash or self-payment200
- Private health insurance175
- Medicaid141
- Federal, or any government funding for substance use treatment programs119
- State-financed health insurance plan other than Medicaid80
- Federal military insurance (e.g., TRICARE)70
Available Settings
- Outpatient188
- Regular outpatient treatment161
- Intensive outpatient treatment144
- Outpatient methadone/buprenorphine or naltrexone treatment76
- Residential/24-hour residential73
Frequently Asked Questions About 12-Step in Texas
Can I attend 12-step meetings if I am also on medication-assisted treatment?
Yes. AA and NA do not prohibit members from taking prescribed medication for mental or physical health, including MAT. The NA pamphlet "In Times of Illness" specifically clarifies this. Texas groups often welcome MAT patients as full members.
What happens at a typical 12-step meeting in Texas?
A typical meeting lasts one hour and includes readings from the fellowship’s literature, a speaker sharing their recovery experience, or a group discussion. Most Texas meetings close with the Serenity Prayer or similar. First-timers are invited — not required — to introduce themselves.
Can my sponsor demand I stop MAT or other prescribed medications?
No. A sponsor’s role is guidance, not medical management. AA and NA fellowship literature ("The AA Member — Medications and Other Drugs," NA’s "In Times of Illness") explicitly affirms that sponsors do not intervene in medical care. Find a different sponsor if this happens.
Is 12-step effective for people with dual diagnoses?
Yes — 12-step can complement treatment for co-occurring mental health conditions. Double Trouble in Recovery (DTR) and Dual Recovery Anonymous (DRA) are specialized 12-step fellowships for dual-diagnosis members. Texas dual-focus meetings are available in many urban areas.
Can non-religious newcomers feel comfortable at 12-step in Texas?
Yes, especially at meetings labeled agnostic, secular, or "We Agnostics." Even at traditional meetings, most Texas members respect diverse beliefs. You are never required to pray, invoke a deity, or endorse any specific theology.
Can I share that I saw someone at a meeting?
No. "Who you see here, what you hear here, stays here" is repeated at most meetings. Breaking another member’s anonymity outside the meeting violates the 12-step tradition and can cause real harm. Texas groups take anonymity seriously.
Can I get a sponsor in Texas who supports my MAT?
Yes. Ask explicitly whether potential sponsors are MAT-supportive before committing. MARA groups in Texas specialize in this alignment. Sponsor-sponsee compatibility on MAT is important — your recovery should not be pressured against clinical medical care.
Who pays for 12-step meetings in Texas?
Meetings are fully self-supporting through voluntary member contributions. Groups decline outside funding per Tradition 7. Texas meetings rent church basements, community halls, or recovery clubhouses — costs are covered by the members attending.
Do I need to show my face on camera at an online 12-step meeting?
No. Most online meetings allow members to keep cameras off; many encourage it for anonymity. Display names may be a first name or initial. Texas members who value maximum privacy often attend camera-off.
Can I attend 12-step while still drinking or using?
Yes. The only requirement is a desire to stop. Many Texas members attend while still using in their early weeks, gradually moving toward abstinence. Don’t wait until you’re "ready" — start meetings now.
Other Treatment Options in Texas
12-Step Programs in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)