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

12-Step Programs in Virginia

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 84 12-step programs across Virginia, with the largest concentrations in Arlington (7), Winchester (5) and Richmond (4).

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 Virginia:

  • Virginia Medicaid covers addiction treatment
  • Strong military and veteran treatment programs
  • Mountain and coastal treatment locations
  • Academic medical center partnerships

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12-step programs in Virginia

Filters:

Arlington · 7 centers

Arlington Recovery Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
National Capital Trt and Recovery - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Virginia Hospital Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Winchester · 5 centers

Bridging the Gaps Inc - Facility Image

Bridging the Gaps Inc

Winchester, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
VAMED Health Group LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Atlas Counseling Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Richmond · 4 centers

Summit Hill Wellness - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Family Counseling Center for Recovery - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Richmond Private Methadone Clinic - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Chesapeake · 3 centers

BHG Chesapeake South Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
BHG Chesapeake Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Chesapeake Integrated Behavioral Hlth - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Fredericksburg · 3 centers

Family Counseling Center for Recovery - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Snowden at Fredericksburg - Facility Image

Snowden at Fredericksburg

Fredericksburg, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

Lighthouse Counseling of

Fredericksburg, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Roanoke · 3 centers

Blue Ridge Behavioral Healthcare - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Intercept True North Health Clinic - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Salem · 3 centers

Veterans Affairs Medical Center - Facility Image
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 Emotional Care - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
LewisGale - Facility Image

LewisGale

Salem, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Virginia Beach · 3 centers

Virginia Beach Psychiatric Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
BHG Virginia Beach Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Tidewater Psychotherapy Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Annandale · 2 centers

Recovery Unplugged - Facility Image

Recovery Unplugged

Annandale, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatment

Ashburn · 2 centers

Insight Into Action Therapy - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Insight Recovery Centers - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Charlottesville · 2 centers

Placeholder image

Orchard Mountain Recovery

Charlottesville, VA

Insurance Accepted$$

Services:

Substance use treatment
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Culpeper · 2 centers

Culpeper Treatment Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Fairfax · 2 centers

Fairfax/Falls Church Comm Servs Board - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Galax · 2 centers

Galax Treatment Center Inc - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sobrius Curae - Facility Image

Sobrius Curae

Galax, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Harrisonburg · 2 centers

Harrisonburg Treatment Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Placeholder image

Mental Wellness Now LLC

Harrisonburg, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Henrico · 2 centers

Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image

River City

Henrico, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Newport News · 2 centers

Pyramid Healthcare - Facility Image

Pyramid Healthcare

Newport News, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
BHG Newport News Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Norfolk · 2 centers

James Barry Robinson Institute - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Parksley · 2 centers

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Staunton · 2 centers

Valley Community Services Board - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
BHG Staunton Treatment Center - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Alexandria · 1 center

Fairfax/Falls Church Comm Servs Board - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Ashland · 1 center

Placeholder image
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 Stone Gap · 1 center

Frontier Health Inc - Facility Image

Frontier Health Inc

Big Stone Gap, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Clintwood · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Colonial Heights · 1 center

Placeholder image

Colonial Heights Counseling

Colonial Heights, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Covington · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Dinwiddie · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Emporia · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Falls Church · 1 center

Placeholder image

Inova CATS Program

Falls Church, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Front Royal · 1 center

Pinnacle Treatment Centers VA LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Gloucester · 1 center

Middle Peninsula/Northern Neck CSB - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Hanover · 1 center

Williamsville Wellness Center - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Herndon · 1 center

Aquila Recovery of Virginia - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Jonesville · 1 center

Frontier Health - Facility Image

Frontier Health

Jonesville, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Leesburg · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Lynchburg · 1 center

Pathways - Facility Image

Pathways

Lynchburg, VA

Insurance Accepted$$

Services:

Substance use treatment

Manassas · 1 center

Placeholder image
$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Marion · 1 center

Mount Rogers Community Services Board - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Martinsville · 1 center

Piedmont Community Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Petersburg · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Reston · 1 center

Sandstone Care - Facility Image

Sandstone Care

Reston, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more

Rocky Mount · 1 center

Piedmont Community Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Sterling · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Stuart · 1 center

Piedmont Community Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Tappahannock · 1 center

Middle Peninsula/Northern Neck CSB - Facility Image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Vienna · 1 center

New Paradigm Recovery LLC - Facility Image
Insurance Accepted$$

Services:

Substance use treatment

Waverly · 1 center

Placeholder image
Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Weber City · 1 center

Frontier Health Inc - Facility Image

Frontier Health Inc

Weber City, VA

Insurance Accepted$$

Services:

Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children

Williamsburg · 1 center

Williamsburg Place - Facility Image

Williamsburg Place

Williamsburg, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Coverage & Regulations in Virginia

Cardinal Care

Cardinal Care (formerly Medallion/CCC Plus) covers MAT including peer-support services under the ARTS (Addiction and Recovery Treatment Services) benefit.

State regulations

Virginia Department of Behavioral Health and Developmental Services licenses OTPs; ARTS expanded MAT access across all provider levels since 2017.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance
  • Cash or self-payment83
  • Private health insurance74
  • Medicaid70
  • Medicare56
  • Federal military insurance (e.g., TRICARE)53
  • Federal, or any government funding for substance use treatment programs44
Available Settings
  • Outpatient75
  • Regular outpatient treatment66
  • Outpatient methadone/buprenorphine or naltrexone treatment52
  • Intensive outpatient treatment41
  • Outpatient detoxification17

Frequently Asked Questions About 12-Step in Virginia

Can I attend 12-step meetings virtually in Virginia?

Yes. Thousands of AA and NA meetings worldwide are online; Virginia groups list virtual meeting options at local area service websites. Virtual meetings cover the same format as in-person and often have 24/7 availability.

What is a step or study meeting?

Step meetings work through the 12 Steps one at a time, and Big Book or Basic Text study meetings read fellowship literature together, paragraph by paragraph. These formats deepen practical understanding. Most Virginia areas list step-study and literature-study meetings in the weekly schedule.

Can I be sponsored by someone in a different state?

Yes. Long-distance sponsorship by phone and video is common and has worked effectively for decades. Virginia members sometimes keep a home-area sponsor when they relocate, or pair with a new sponsor locally for in-person meeting fellowship.

What percentage of 12-step members stay sober?

AA internal surveys suggest about 36% of members stay sober 1+ year, with higher rates among those who work the program consistently. Research published by Harvard affiliate Dr. John F. Kelly shows outcomes comparable to professional therapy when members engage meaningfully.

Can I work the 12-step program without believing in God?

Yes. The phrase "God as we understand him" in the steps was intentionally written to accommodate diverse beliefs. Secular members often interpret the higher power as the fellowship itself, human conscience, or scientific reason. Virginia secular meetings support this interpretation.

What if I see my employer, doctor, or lawyer at a meeting?

You both agree to confidentiality by being in the room. Virginia members respect anonymity across professional roles; no one will discuss your presence outside. Attending meetings together often builds mutual trust rather than awkwardness.

Will my MAT clinic encourage 12-step attendance?

Most Virginia MAT clinics offer 12-step referrals as part of the biopsychosocial treatment plan. Clinicians support both the medication and fellowship engagement. SMART Recovery and other peer groups are typically also offered as alternatives.

Do I need to buy anything to start 12-step?

No. Just show up. Many meetings have loaner literature and hand out welcome pamphlets free to newcomers. Purchasing a personal copy of the Big Book or NA Basic Text over time is recommended but not required.

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. Virginia members who value maximum privacy often attend camera-off.

Can I combine 12-step with therapy in Virginia?

Yes — and combining is generally more effective than either alone. Many Virginia therapists incorporate 12-step Facilitation as an evidence-based modality; insurance and Cardinal Care cover this clinical approach alongside peer fellowship attendance.

Other Treatment Options in Virginia

12-Step Programs in Other States

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

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