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

12-Step Programs in Virginia

Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026

Our directory lists 93 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 recorded 2,480 drug overdose deaths in 2023 at 28.5 per 100,000 (CDC NCHS); opioid deaths fell -44% from 2023 to 2024 (KFF analysis), one of the largest U.S. declines.
  • 133 buprenorphine providers and 30 methadone Opioid Treatment Programs serve the state; Arlington, Richmond, and Galax anchor access.
  • Cardinal Care covers MAT including peer-support services under the Addiction and Recovery Treatment Services (ARTS) benefit.
  • ARTS expanded MAT access across all provider levels since 2017 under DBHDS oversight.

12-Step in Virginia — By the Numbers

28.5

per 100,000 drug overdose mortality (CDC 2023)

2,480

total overdose deaths in Virginia (2023)

181

verified facilities in our directory

143 / 181

facilities offering telehealth

161

accept Medicaid for treatment

30

SAMHSA-certified Opioid Treatment Programs

Top cities by buprenorphine provider density

Arlington (7) · Richmond (7) · Galax (5)

Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026

Coverage & Regulations in VirginiaSources verified: 2026-05-14

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.

How to access MAT in Virginia

The ARTS benefit funds same-day buprenorphine starts at Federally Qualified Health Centers and Community Services Boards in all 40 health districts.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Commonly Accepted Insurance in Virginia
  • 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 Treatment Settings in Virginia
  • Outpatient75
  • Regular outpatient treatment66
  • Outpatient methadone/buprenorphine or naltrexone treatment52
  • Intensive outpatient treatment41
  • Outpatient detoxification17

Need Help Finding the Right Treatment Center?

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All 50 States

12-Step Treatment Providers in Virginia

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
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
Spanish
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
Farsi+1 more
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
Sign language services for the deaf and hard of hearing

Culpeper · 2 centers

Culpeper Treatment Services - Facility Image
Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing
Placeholder image
Insurance Accepted$$

Services:

DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing+1 more

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
Sign language services for the deaf and hard of hearing+1 more
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
Arabic+4 more

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing
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
Spanish

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing
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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing+1 more

Lynchburg · 1 center

Pathways - Facility Image

Pathways

Lynchburg, VA

Insurance Accepted$$

Services:

Substance use treatment
Sign language services for the deaf and hard of hearing

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
Spanish

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing+1 more

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

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
Sign language services for the deaf and hard of hearing

Williamsburg · 1 center

Williamsburg Place - Facility Image

Williamsburg Place

Williamsburg, VA

Insurance Accepted$$

Services:

DetoxificationSubstance use treatment

Showing 84 of 93 12-step programs in Virginia. Browse all centers in Virginia

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 Reviewed Updated June 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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