12-Step Programs in Virginia
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 128 12-step programs across Virginia, with the largest concentrations in Arlington (8), Richmond (7) and Winchester (6).
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
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.
- Cash or self-payment126
- Private health insurance118
- Medicaid102
- Federal military insurance (e.g., TRICARE)84
- Medicare67
- State-financed health insurance plan other than Medicaid55
- Outpatient111
- Regular outpatient treatment91
- Outpatient methadone/buprenorphine or naltrexone treatment76
- Intensive outpatient treatment73
- Residential/24-hour residential35
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12-Step Treatment Providers in Virginia
12-step programs in Virginia
Arlington · 8 centers

Arlington Recovery Center
Arlington, VA
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National Capital Trt and Recovery
Arlington, VA
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Virginia Hospital Center
Arlington, VA
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Virginia Hospital Center
Arlington, VA
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Kolmac Integrated Behavioral Health
Arlington, VA
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National Capital Trt and Recovery
Arlington, VA
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Womens Home Inc
Arlington, VA
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Arlington County Community Servs Board
Arlington, VA
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Richmond · 7 centers

Avenues Recovery Center at Richmond
Richmond, VA
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Family Counseling Center for Recovery
Richmond, VA
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Recoverable LLC
Richmond, VA
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Eminent Behavioral Health
Richmond, VA
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Henrico Area Mental Health and
Richmond, VA
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Roanoke · 6 centers

Blue Ridge Behavioral Healthcare
Roanoke, VA
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Pinnacle Treatment Services of Roanoke
Roanoke, VA
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Intercept True North Health Clinic
Roanoke, VA
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Blue Ridge Behavioral Healthcare
Roanoke, VA
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Virginia Beach · 6 centers

Aviv Recovery
Virginia Beach, VA
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Milestone Treatment Center
Virginia Beach, VA
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Virginia Beach Psychiatric Center
Virginia Beach, VA
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BHG Virginia Beach Treatment Center
Virginia Beach, VA
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Tidewater Psychotherapy Services
Virginia Beach, VA
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Sandstone Care Virginia Beach
Virginia Beach, VA
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Winchester · 6 centers

Bridging the Gaps Inc
Winchester, VA
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VAMED Health Group LLC
Winchester, VA
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Atlas Counseling Center
Winchester, VA
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Northwestern Community Services
Winchester, VA
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Northwestern Community Services Board
Winchester, VA
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Council on Alcoholism
Winchester, VA
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Fredericksburg · 5 centers

Conscious Healing Inc
Fredericksburg, VA
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Spotsylvania Regional Medical Center
Fredericksburg, VA
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Family Counseling Center for Recovery
Fredericksburg, VA
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Snowden at Fredericksburg
Fredericksburg, VA
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Lighthouse Counseling of
Fredericksburg, VA
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Williamsburg · 5 centers

Williamsburg Place
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Faith Recovery
Williamsburg, VA
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Lynchburg · 4 centers

Centra Medical Group Addiction Trt Ctr
Lynchburg, VA
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Pathways
Lynchburg, VA
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Norfolk · 4 centers

James Barry Robinson Institute
Norfolk, VA
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Avenues Recovery Center at Norfolk
Norfolk, VA
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Norfolk Community Services Board
Norfolk, VA
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Salem · 4 centers

Veterans Affairs Medical Center
Salem, VA
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Center for Emotional Care
Salem, VA
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LewisGale
Salem, VA
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Chesapeake · 3 centers

BHG Chesapeake South Treatment Center
Chesapeake, VA
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BHG Chesapeake Treatment Center
Chesapeake, VA
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Chesapeake Integrated Behavioral Hlth
Chesapeake, VA
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Henrico · 3 centers

Next Frontier Recovery LLC
Henrico, VA
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Henrico Area Mental Health and
Henrico, VA
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River City
Henrico, VA
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Newport News · 3 centers

Pyramid Healthcare
Newport News, VA
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BHG Newport News Treatment Center
Newport News, VA
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Universal Mental Health Services LLC
Newport News, VA
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Alexandria · 2 centers

Fairfax/Falls Church Comm Servs Board
Alexandria, VA
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Sandstone Care Alexandria
Alexandria, VA
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Annandale · 2 centers

Recovery Unplugged
Annandale, VA
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Ashburn · 2 centers

Insight Into Action Therapy
Ashburn, VA
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Insight Recovery Centers
Ashburn, VA
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Charlottesville · 2 centers

Region Ten Community Services Board
Charlottesville, VA
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Culpeper · 2 centers

Culpeper Treatment Services
Culpeper, VA
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Boxwood Detox and Recovery Program
Culpeper, VA
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Fairfax · 2 centers

Fairfax/Falls Church Comm Servs Board
Fairfax, VA
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Inova CATS Program
Fairfax, VA
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Front Royal · 2 centers

Pinnacle Treatment Centers VA LLC
Front Royal, VA
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Northwestern Community Services Board
Front Royal, VA
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Galax · 2 centers

Galax Treatment Center Inc
Galax, VA
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Sobrius Curae
Galax, VA
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Glen Allen · 2 centers

Master Center for Addiction Medicine
Glen Allen, VA
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Sandstone Care Richmond
Glen Allen, VA
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Harrisonburg · 2 centers

Harrisonburg Treatment Center
Harrisonburg, VA
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Mental Wellness Now LLC
Harrisonburg, VA
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Jonesville · 2 centers

Jonesville VA Clinic
Jonesville, VA
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Frontier Health
Jonesville, VA
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Parksley · 2 centers

Eastern Shore Behavioral Hlthcare Ctr
Parksley, VA
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Eastern Shore Community Services Board
Parksley, VA
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Staunton · 2 centers

Valley Community Services Board
Staunton, VA
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BHG Staunton Treatment Center
Staunton, VA
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Ashland · 1 center

Hanover County Comm Services Board
Ashland, VA
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Bassett · 1 center
Big Stone Gap · 1 center

Frontier Health Inc
Big Stone Gap, VA
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Bristol · 1 center

Bristol VA Clinic
Bristol, VA
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Chantilly · 1 center

Sandstone Care Detox Center
Chantilly, VA
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Chatham · 1 center

Tranquility Grove
Chatham, VA
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Clintwood · 1 center

Dickenson County Behav Health Servs
Clintwood, VA
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Colonial Heights · 1 center

Colonial Heights Counseling
Colonial Heights, VA
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Covington · 1 center

Alleghany Highlands Community Services
Covington, VA
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Cross Junction · 1 center

Timber Ridge School
Cross Junction, VA
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Danville · 1 center

Epic Health Partners
Danville, VA
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Dinwiddie · 1 center

Dinwiddie Counseling Services
Dinwiddie, VA
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Dumfries · 1 center

Mainspring Recovery
Dumfries, VA
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Emporia · 1 center

District 19 Community Services Board
Emporia, VA
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Falls Church · 1 center

Inova CATS Program
Falls Church, VA
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Franklin · 1 center
Gloucester · 1 center

Middle Peninsula/Northern Neck CSB
Gloucester, VA
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Hampton · 1 center

Hampton VAMC
Hampton, VA
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Hanover · 1 center
Herndon · 1 center
Hopewell · 1 center

Arrowwood Addiction Treatment Center
Hopewell, VA
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Lancaster · 1 center
Leesburg · 1 center

Loudoun County Mental Health Center
Leesburg, VA
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Luray · 1 center

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Manassas · 1 center

Calvary Counseling Center
Manassas, VA
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Marion · 1 center

Mount Rogers Community Services Board
Marion, VA
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Martinsville · 1 center

Piedmont Community Services
Martinsville, VA
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Milford · 1 center

Warriors Heart Virginia
Milford, VA
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Petersburg · 1 center

District 19 Community Services Board
Petersburg, VA
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Reston · 1 center

Sandstone Care
Reston, VA
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Rocky Mount · 1 center

Piedmont Community Services
Rocky Mount, VA
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Sterling · 1 center

Loudoun County Mental Health Center
Sterling, VA
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Stuart · 1 center

Piedmont Community Services
Stuart, VA
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Tappahannock · 1 center

Middle Peninsula/Northern Neck CSB
Tappahannock, VA
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Vansant · 1 center

Vansant VA Clinic
Vansant, VA
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Vienna · 1 center
Waverly · 1 center

District 19 Community Services Board
Waverly, VA
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Weber City · 1 center

Frontier Health Inc
Weber City, VA
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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
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)













