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Medically Reviewed Content
Updated: April 2026
Sources: SAMHSA, NIDA

12-Step Programs in Texas

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 224 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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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
Top Cities for 12-Step Programs in Texas
Houston
37 centers
Dallas
21 centers
San Antonio
10 centers
Austin
8 centers
Laredo
6 centers
Amarillo
5 centers
Fort Worth
5 centers
Abilene
5 centers
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

12-step programs in Texas

Abilene, TX

325-400-8586

Abilene Absolute Recovery Solutions, situated in Abilene, TX, provides extensive outpatient programs for adults battling substance use disorders. This includes specialized support for individuals affected by intimate partner violence. The center's core offerings involve medication-assisted treatment with methadone, buprenorphine, or naltrexone. Their therapeutic approach integrates proven methods like 12-step facilitation, cognitive behavioral therapy, and contingency management, also known as motivational incentives. Dedicated to personalized, high-quality care, the facility assists adults and young adults, fostering a nurturing space for their journey toward recovery and well-being.

San Angelo, TX

325-224-3481

The Alcohol and Drug Awareness Center, situated in San Angelo, TX, is a facility dedicated to providing thorough addiction recovery programs. Their expertise encompasses safe detoxification and extensive substance use disorder treatment, offering extended stays in a residential setting with constant professional oversight. The treatment regimen incorporates proven methodologies such as 12-step program integration, cognitive behavioral techniques, and motivational interviewing. The center provides specialized tracks for adult men, adult women, and individuals involved with the legal system, ensuring each client receives care suited to their unique circumstances. Open to adults and young adults of any gender, this center is committed to delivering high-caliber treatment and customized recovery strategies aimed at achieving sustained sobriety.

San Angelo, TX

325-224-3481

The Alcohol and Drug Awareness Center in San Angelo, TX, provides outpatient addiction recovery services for adults and adolescents. Employing strategies such as 12-step program integration, cognitive behavioral therapy, and motivational interviewing, the center delivers personalized treatment plans. They have specialized offerings for adult men, adult women, and individuals involved with the criminal justice system. The center emphasizes gender-specific approaches to foster a secure and understanding atmosphere for all participants. Their all-encompassing methodology and commitment to high standards establish it as a vital support system for individuals pursuing successful recovery from addiction.

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Georgetown, TX

866-568-9936 x1

Arbor Behavioral Healthcare, located in Georgetown, TX, specializes in the treatment of substance use disorders alongside co-occurring mental health issues for both adults and children. The center features various programs, including inpatient care, around-the-clock hospital supervision, and long-term residential options designed to meet the unique needs of each individual. Utilizing methods such as 12-step programs, anger management techniques, and brief interventions, Arbor Behavioral Healthcare emphasizes a holistic approach to treatment. The facility has specific programs for adult men, women, and those facing both mental health and addiction challenges. Catering to both adults and younger clients, this center is committed to delivering high-quality, personalized care to support enduring recovery.

Southlake, TX

888-339-2747

Arise Recovery Centers, located in Southlake, TX, provides a wide range of treatment options for substance use disorders, including intensive outpatient, outpatient, and standard outpatient programs. This center focuses on 12-step methodologies, anger management strategies, and brief intervention techniques. Arise offers customized programs for adult men, adult women, and individuals who have faced intimate partner or domestic violence, ensuring that a variety of needs are met. Catering to adults and young adults of any gender, the facility fosters a nurturing atmosphere conducive to recovery. Clients can look forward to exceptional care and individualized treatment plans designed to support their path to sobriety.

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Fort Worth, TX

817-616-0504

ASIC Recovery Services in Fort Worth, TX, provides extensive addiction treatment for individuals of all ages, from children to adults. Their structured programs, including intensive, regular outpatient, and standard outpatient options, integrate effective therapeutic modalities such as 12-step facilitation, anger management techniques, and brief intervention strategies. A key feature of ASIC Recovery Services is their commitment to crafting bespoke treatment plans designed to meet the specific requirements of each person. Catering to both male and female clients, the center fosters a welcoming and encouraging atmosphere. For those in search of exceptional, personalized addiction care, ASIC Recovery Services is devoted to supporting your journey toward healing.

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Frisco, TX

469-249-9363

Aspire Recovery Center, situated in Frisco, TX, delivers exceptional treatment for substance use issues, targeting both adults and young adults. The center features a variety of care options including intensive outpatient, outpatient, and day treatment services, emphasizing 12-step facilitation, cognitive behavioral therapy, and anger management techniques. A notable aspect of Aspire Recovery Center is its customized approach, which addresses the specific needs of both males and females. With a strong dedication to individualized care, this center strives to assist individuals in their recovery journeys by offering personalized treatment plans that align with their distinct circumstances.

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Houston, TX

713-705-3490

Alliance Risk Group LLC, located in Houston, TX, specializes in holistic recovery solutions for adults and adolescents navigating addiction alongside mental health complexities. The facility distinguishes itself with its tiered treatment offerings, encompassing acute hospital care, round-the-clock residential support, and robust outpatient services. Their therapeutic framework is grounded in evidence-based modalities such as structured 12-step engagement, effective anger management strategies, and concise intervention techniques. Alliance Risk Group LLC is equipped to serve diverse populations, including adult men, adult women, and individuals managing the intertwined challenges of chronic pain and substance dependence. A cornerstone of their philosophy is the delivery of highly personalized care, guaranteeing a tailored and effective path to wellness for every male and female patient striving for freedom from addiction and co-occurring psychological concerns.

Fort Worth, TX

888-339-2747

Arise Recovery Centers in Fort Worth, TX, provides comprehensive outpatient care, including intensive, standard, and basic outpatient services for individuals battling substance use disorders. Their therapeutic methods incorporate 12-step integration, emotional regulation techniques, and concise intervention strategies. This center serves adult men and women, as well as those affected by intimate partner or domestic violence. They also offer tailored programs for adults and young adults, irrespective of gender. Committed to exceptional support and diverse treatment paths, Arise Recovery Centers strives to empower individuals on their journey to recovery and self-management.

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Houston, TX

281-931-5953

Abundance Living, located in Houston, TX, specializes in treating adult men dealing with substance use issues within a nurturing and secure setting. The center provides various levels of care, including inpatient hospital treatment, long-term residential options, and around-the-clock hospital services. Emphasizing approaches like 12-step facilitation, anger management, and brief interventions, Abundance Living addresses the needs of clients who have faced challenges such as intimate partner violence, domestic violence, and sexual abuse. The center offers customized programs for adults, seniors, and young adults, ensuring that care is comprehensive and suitable for different age groups. Abundance Living's dedication to quality and personalized treatment plans establishes it as an excellent option for individuals seeking effective rehabilitation support.

Houston, TX

888-339-2747

Arise Recovery Centers, located in Houston, TX, specializes in extensive treatment options for individuals struggling with substance use, targeting both adults and young adults. The center offers a range of programs, including intensive outpatient and standard outpatient treatment. Emphasizing techniques such as 12-step facilitation, anger management, and brief interventions, the facility serves adult men and women, including those who have gone through intimate partner or domestic violence. With gender-specific programs, Arise Recovery Centers ensures that the needs of both female and male clients are met. The center is committed to delivering high-quality, personalized care and customized treatment plans to assist clients in their recovery journey.

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San Antonio, TX

210-735-3822

Situated in San Antonio, TX, Alpha Home Inc delivers a variety of focused treatment programs for individuals dealing with substance use issues and co-occurring mental health disorders, catering to both adults and children. The center offers several options including intensive outpatient treatment, long-term residential programs, and standard outpatient services. With a commitment to personalized care, Alpha Home Inc employs various methods such as 12-step facilitation, anger management techniques, and brief interventions. The facility supports adult men and women, as well as those affected by intimate partner or domestic violence, ensuring that individuals of all genders receive dedicated and effective care tailored to their specific circumstances.

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San Antonio, TX

210-735-3822

Alpha Home Inc, situated in San Antonio, TX, delivers a wide array of long-term residential treatment solutions designed specifically for adults dealing with substance use disorders and co-occurring severe mental health conditions, as well as children facing significant emotional challenges. The center specializes in support for women, including those affected by intimate partner violence, domestic abuse, and sexual assault. By emphasizing 12-step facilitation, anger management, and brief intervention techniques, Alpha Home Inc is dedicated to providing exceptional care and assistance tailored to female clients across various age groups, from young women to seniors.

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Dallas, TX

888-339-2747

Arise Recovery Centers, located in Dallas, TX, delivers a wide range of substance abuse treatment options, including intensive outpatient, outpatient, and standard outpatient programs. The center is dedicated to offering tailored support through methods like 12-step facilitation, anger management, and brief intervention strategies. It features distinctive programs designed for adult men and women as well as individuals who have faced intimate partner or domestic violence. This facility welcomes adults and young adults of any gender, emphasizing personalized treatment plans and high-quality care to aid clients in their recovery process.

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Garland, TX

972-278-4760

Addicare Group of Texas, located in Garland, TX, delivers thorough addiction recovery services via its intensive outpatient, outpatient, and standard outpatient programs. The facility extends specialized support to adult men and women, along with those who have faced intimate partner or domestic violence. Emphasizing 12-step facilitation, anger management techniques, and brief intervention strategies, Addicare Group customizes its approach to suit the distinct requirements of every individual. Catering to both adults and young people, this center guarantees high-quality care for people of all ages and genders pursuing successful and empathetic addiction treatment.

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Houston, TX

888-339-2747

Arise Recovery Centers in Houston, TX, provides thorough care for individuals struggling with addiction, utilizing intensive outpatient, outpatient, and standard outpatient services. Their specialized methods include 12-step guidance, anger management techniques, and brief intervention strategies. Distinctive offerings are available for adult men and women, as well as those affected by domestic or intimate partner abuse. The center assists adults and young adults of all genders, delivering personalized support for diverse requirements. Committed to excellence and customized care, Arise Recovery Centers is devoted to guiding individuals toward lasting sobriety.

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Dallas, TX

817-246-8677 x500

ABODE Treatment Inc located in Dallas, TX, provides a wide range of substance abuse treatment options that include intensive outpatient, outpatient, and standard outpatient programs. The center employs proven methods like 12-step facilitation, cognitive behavioral therapy, and motivational incentives/contingency management to create personalized treatment plans for adults and young adults of all genders. With specialized programs for military personnel, men, and women, ABODE Treatment Inc is dedicated to offering individualized assistance to each client. Its emphasis on high-quality care and a variety of therapeutic options positions it as a reliable resource for those in need of effective rehabilitation in the Dallas region.

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Abilene, TX

817-246-8677 x800

Situated in Abilene, TX, ABODE Treatment Inc specializes in extensive rehabilitation services for both adults and young adults struggling with substance use issues. The facility offers various treatment options, including intensive outpatient, outpatient, and standard outpatient programs. By implementing proven methodologies like 12-step facilitation, cognitive behavioral therapy, and contingency management, it serves adult men, women, and members of the military. With an emphasis on tailored care, ABODE Treatment Inc is dedicated to providing effective support to individuals aiming to conquer addiction and secure a sustainable recovery.

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San Antonio, TX

210-541-8400

Alamo City Treatment Services, located in San Antonio, TX, delivers thorough care for individuals struggling with substance dependency, serving both adults and younger people. They offer various levels of care, including intensive outpatient programs, standard outpatient services, and day treatment (partial hospitalization). Their therapeutic approach incorporates 12-step integration, techniques for managing anger, and short-term intervention strategies, making them well-equipped to assist those dealing with both mental health and substance use challenges. The center distinguishes itself with customized programs designed specifically for adult men, adult women, and individuals of all gender identities, ensuring each person receives tailored support. This dedication to high-quality, specialized, and gender-affirming treatment solidifies Alamo City Treatment Services as a significant provider of successful recovery services within the San Antonio community.

Dallas, TX

469-291-5288

Situated in Dallas, TX, Anchor of Hope provides extensive treatment for substance use disorders, featuring outpatient care as well as programs utilizing methadone, buprenorphine, and naltrexone. This center is dedicated to offering specialized services for active military members, adult men and women, as well as young adults. Emphasizing 12-step support, anger management techniques, and brief interventions, Anchor of Hope customizes its treatment strategies to meet the distinct needs of each client. Their commitment to quality care and personalized strategies positions them as a vital resource for individuals on their journey to recovery. Clients of all genders can access programs specifically crafted to tackle their particular obstacles at Anchor of Hope.

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McKinney, TX

888-339-2747

Arise Recovery Centers in McKinney, TX, provides thorough care for substance use disorders via intensive outpatient, outpatient, and standard outpatient programs. This location excels in 12-step facilitation, anger management, and brief intervention techniques. Specifically designed for adult men, adult women, and individuals affected by intimate partner or domestic violence, Arise supports a wide spectrum of clients. Open to adults and young adults of any gender, the center delivers personalized services crafted to meet individual requirements. Select Arise Recovery Centers for proven treatments and understanding assistance on your path to healing.

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Showing 21 of 224 12-step programs in Texas. Browse all centers in Texas

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

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)