Medically Reviewed Content
Updated: October 2026
Sources: SAMHSA, NIDA
Naltrexone Treatment Centers in Texas
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 201 naltrexone providers across Texas, with the largest concentrations in Houston (21), Dallas (17) and Austin (13).
Naltrexone (Vivitrol, Revia) is an opioid antagonist used to treat both alcohol use disorder and opioid dependence. Available as a daily oral tablet or monthly extended-release injection, it blocks opioid receptors to reduce cravings and prevent relapse.
Treatment landscape in Texas:
- Texas recorded 5,687 drug overdose deaths in 2023 at 18.5 per 100,000 (CDC NCHS) — below the U.S. average despite the largest absolute death count after California.
- 183 buprenorphine providers and 78 methadone Narcotic Treatment Programs serve the state; Houston, Dallas, and Austin anchor access.
- Texas Medicaid covers buprenorphine and naltrexone for eligible adults; methadone for OUD is reimbursed at licensed NTPs.
- Texas HHSC operates a grant-funded Targeted Opioid Response (TOR) network expanding MAT access beyond the NTPs.
Naltrexone in Texas — By the Numbers
18.5
per 100,000 drug overdose mortality (CDC 2023)
5,687
total overdose deaths in Texas (2023)
159
naltrexone providers in our directory
295 / 412
facilities offering telehealth
290
accept Medicaid for treatment
78
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Houston (17) · Dallas (14) · Austin (12)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Coverage & Regulations in TexasSources verified: 2026-05-14
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 in Texas
- Private health insurance178
- Cash or self-payment177
- Medicaid120
- Federal, or any government funding for substance use treatment programs105
- Federal military insurance (e.g., TRICARE)101
- Medicare90
Available Treatment Settings in Texas
- Outpatient172
- Regular outpatient treatment138
- Outpatient methadone/buprenorphine or naltrexone treatment126
- Intensive outpatient treatment110
- Residential/24-hour residential59
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Naltrexone Treatment Providers in Texas
Naltrexone providers in Texas
Filters:
Jump to city:Houston 21Dallas 17Austin 13San Antonio 12El Paso 9Amarillo 5Fort Worth 5Abilene 4Conroe 3Georgetown 3McKinney 3Midland 3+84 more
Houston · 21 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$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Any Chinese Language+3 more
Volunteers of America Texas Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
West Oaks Hospital LP
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Harris Center for MH/IDD
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Healthcare for the Homeless Houston
Houston, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Spanish
Serenity Light Recovery
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Symetria Recovery
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Alliance Risk Group LLC
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Michael E DeBakey VA Medical Center
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Sign language services for the deaf and hard of hearing+1 more
Virtue Recovery Houston
Houston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Santa Maria Hostel Inc
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Set Free DAT Center
Houston, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Dallas · 17 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
Sign language services for the deaf and hard of hearing+1 more
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
Sign language services for the deaf and hard of hearing
Department of Veteran Affairs Hospital
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Cagnollatti and Henderson Inc
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Dallas County MHMR Center
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Guiding Minds Counseling and Treatment
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatment
Homeward Bound Inc
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Dallas County MHMR Center
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Homeward Bound Inc
Dallas, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Lifes Second Chance Treatment Center
Dallas, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Austin · 13 centers
Central Texas VA Healthcare
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Embracia Health
Austin, TX
$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Recovery Unplugged
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Sage Recovery and Wellness Center
Austin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Community Medical Services
Austin, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Community Medical Services
Austin, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Cenikor Foundation
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Bee Cave Recovery
Austin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Aeschbach and Associates Inc
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
German+1 more
Cross Creek Hospital
Austin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing+1 more
Workit Health (MI) PLLC
Austin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Self Recovery
Austin, TX
$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
San Antonio · 12 centers
Blue Heron Recovery
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Center for Healthcare Services
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Eleanor Health
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Laurel Ridge Treatment Center
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Metro Treatment of Texas LP
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Community Medical Services
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Alamo Behavioral Health
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Audie L Murphy Memorial Veterans Hosp
San Antonio, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Alpha Home Inc
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mindful Innovations Csl Servs PLLC
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatment
Spanish
River City Rehabilitation Center Inc
San Antonio, TX
Insurance Accepted$$
Services:
Substance use treatment
Spanish
El Paso · 9 centers
El Paso Veterans Affairs Healthcare
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
El Paso Behavioral Health System
El Paso, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Esperanza Wellness
El Paso, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Sign language services for the deaf and hard of hearing+1 more
Harmony Road Recovery LLC
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
American Indian or Alaska Native languages+1 more
Harmony Road Recovery LLC
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
American Indian or Alaska Native languages+1 more
Ysleta Del Sur Pueblo
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Emergence Health Network
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Sunwest Behav Health Organization LLC
El Paso, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Amarillo · 5 centers
Cenikor Foundation
Amarillo, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Cenikor Foundation
Amarillo, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Sign language services for the deaf and hard of hearing
Amarillo VA Healthcare System
Amarillo, TX
$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Spanish
TPC Substance Use Outpatient Services
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
North Texas Addiction Counseling and
Fort Worth, TX
Insurance Accepted$$
Services:
Substance use treatment
MH/MR of Tarrant County
Fort Worth, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Symetria Recovery
Fort Worth, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Abilene · 4 centers
Abilene Betty Hardwick
Abilene, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
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
Spanish+1 more
WTCR Abilene Inc
Abilene, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Conroe · 3 centers
Conroe VA clinic
Conroe, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Tri County Behavioral Healthcare
Conroe, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in childrenTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Volunteers of America Texas Inc
Conroe, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing
Georgetown · 3 centers
Arbor Behavioral Healthcare
Georgetown, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Rock Springs
Georgetown, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Sign language services for the deaf and hard of hearing
Bluebonnet Trails Community Services
Georgetown, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
McKinney · 3 centers
Community Medical Services
McKinney, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Collin County MH/MR Center
McKinney, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Midland · 3 centers
Springboard Center
Midland, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
PermiaCare
Midland, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Odessa · 3 centers
PermiaCare
Odessa, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
PermiaCare
Odessa, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Weatherford · 3 centers
North Texas Addiction Counseling and
Weatherford, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pecan Valley Centers for
Weatherford, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
TX OTP LLC
Weatherford, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Arabic+2 more
Arlington · 2 centers
Greenhouse Outpatient Center
Arlington, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Millwood Hospital
Arlington, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Sign language services for the deaf and hard of hearing+1 more
Cedar Park · 2 centers
Community Medical Services
Cedar Park, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
Infinite Recovery
Cedar Park, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+2 more
Denton · 2 centers
Denton County MHMR Center
Denton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Arabic+3 more
Olive Branch Recovery
Denton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Grand Prairie · 2 centers
Greenhouse Treatment Center
Grand Prairie, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
MAT Texas
Grand Prairie, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing+1 more
Lewisville · 2 centers
Grace Counseling Center
Lewisville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Symetria Recovery
Lewisville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Lubbock · 2 centers
Stages of Recovery Inc
Lubbock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish+1 more
Department of Veterans Affairs
Lubbock, TX
$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Lufkin · 2 centers
Burke
Lufkin, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Charles Wilson VA Outpatient Clinic
Lufkin, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Mansfield · 2 centers
Riverwalk Ranch
Mansfield, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Texas Health Recovery and
Mansfield, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Orange · 2 centers
Spindletop Center
Orange, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spindletop Center
Orange, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Plano · 2 centers
Changes Carrollton Springs
Plano, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Richmond · 2 centers
Westpark Springs Hospital
Richmond, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Richmond VA Clinic
Richmond, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
San Angelo · 2 centers
Alcohol and Drug Awareness Center
San Angelo, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
WTCR San Angelo
San Angelo, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Tyler · 2 centers
Waco · 2 centers
$$
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
Stages of Recovery Inc
Waco, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Wichita Falls · 2 centers
The Recovery Center
Wichita Falls, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Red River Hospital
Wichita Falls, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing+1 more
Addison · 1 center
Semper Healthcare Services Inc
Addison, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
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
Azle · 1 center
Stonegate Center
Azle, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Bandera · 1 center
Warriors Heart Texas
Bandera, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Baytown · 1 center
CAN Behavioral Health
Baytown, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Beaumont · 1 center
Beaumont VA Outpatient Clinic
Beaumont, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Big Spring · 1 center
Brownsville · 1 center
Tropical Texas Behavioral Health
Brownsville, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Bryan · 1 center
MHMR Authority of Brazos Valley
Bryan, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in childrenTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Buda · 1 center
Infinite Recovery
Buda, TX
Insurance Accepted$$
Services:
Substance use treatmentTransitional housing, halfway house, or sober homeTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Burleson · 1 center
Texas Health Huguley Forth Worth South
Burleson, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Sign language services for the deaf and hard of hearing
Canyon Lake · 1 center
Windmill Wellness Ranch
Canyon Lake, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Carrizo Springs · 1 center
South Texas Rural Health Services Inc
Carrizo Springs, TX
Insurance Accepted$$
Services:
Substance use treatment
Spanish
Center Point · 1 center
Starlite Recovery Center
Center Point, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Cleburne · 1 center
Pecan Valley Centers for
Cleburne, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
College Station · 1 center
Symetria Recovery
College Station, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Cotulla · 1 center
South Texas Rural Health Services Inc
Cotulla, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Crockett · 1 center
Burke Mental Health
Crockett, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Edinburg · 1 center
Tropical Texas Behavioral Health
Edinburg, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Egypt · 1 center
Great Oaks Recovery Center
Egypt, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Spanish
Elgin · 1 center
Renewal Lodge by Burning Tree
Elgin, TX
Insurance Accepted$$
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$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Flower Mound · 1 center
Denton County MHMR Center
Flower Mound, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hebrew+2 more
Freeport · 1 center
Frisco · 1 center
Galveston · 1 center
Galveston VA Clinic
Galveston, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Garland · 1 center
Granbury · 1 center
Pecan Valley Centers for
Granbury, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Grapevine · 1 center
Valley Hope of Grapevine
Grapevine, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Harlingen · 1 center
Tropical Texas Behavioral Health
Harlingen, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Hunt · 1 center
La Hacienda Treatment Center
Hunt, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Hurst · 1 center
Symetria Recovery
Hurst, TX
Insurance Accepted$$
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
Jourdanton · 1 center
Atascosa SUD Outpatient Clinic
Jourdanton, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Katy · 1 center
Katy VA Clinic
Katy, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Kemah · 1 center
Kemah Palms Recovery
Kemah, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home+1 more
Sign language services for the deaf and hard of hearing
Killeen · 1 center
Virtue Recovery Center
Killeen, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTransitional housing, halfway house, or sober home
Manor · 1 center
New Hope Ranch
Manor, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Mineral Wells · 1 center
Pecan Valley Centers for
Mineral Wells, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
Nacogdoches · 1 center
Burke Mental Health
Nacogdoches, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
New Braunfels · 1 center
River City Rehabilitation Center Inc
New Braunfels, TX
Insurance Accepted$$
Services:
Substance use treatment
Spanish
Paige · 1 center
Austin Pines Ranch
Paige, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spanish
Pampa · 1 center
Lukner Medical Clinic PLLC
Pampa, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pearland · 1 center
Pursuit of Hope Group LLC
Pearland, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Pharr · 1 center
Behavioral Health Solutions of
Pharr, TX
Insurance Accepted$$
Services:
Substance use treatment
Sign language services for the deaf and hard of hearing+1 more
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
Sign language services for the deaf and hard of hearing
Rockwall · 1 center
Lakes Regional MHMR Center
Rockwall, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Round Rock · 1 center
Oakvine Recovery Center
Round Rock, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
San Marcos · 1 center
Sunrise Rehab and Recovery
San Marcos, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sherman · 1 center
Texoma Community Center
Sherman, TX
Insurance Accepted$$
Services:
Substance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing
South Padre Island · 1 center
Origins Recovery Centers
South Padre Island, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spicewood · 1 center
Positive Recovery LLC
Spicewood, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Spring · 1 center
Symetria Recovery
Spring, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Temple · 1 center
Texarkana · 1 center
Community Healthcore
Texarkana, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Spanish
Tomball · 1 center
Tomball of CBOC
Tomball, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious mental illness (SMI) in adults
Sign language services for the deaf and hard of hearing
Van Alstyne · 1 center
Enterhealth Life Recovery Center
Van Alstyne, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatment
Victoria · 1 center
Gulf Bend Center
Victoria, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring disorders plus serious emotional disturbance (SED) in children+1 more
Spanish
Waelder · 1 center
Banyan Texas LLC
Waelder, TX
Insurance Accepted$$
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
Weslaco · 1 center
Tropical Texas Behavioral Health
Weslaco, TX
Insurance Accepted$$
Services:
DetoxificationSubstance use treatmentTreatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Sign language services for the deaf and hard of hearing+1 more
Wimberley · 1 center
TRS Promises Behavioral Care Inc
Wimberley, TX
Insurance Accepted$$
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
Frequently Asked Questions About Naltrexone in Texas
Can pregnant women start naltrexone in Texas?
Yes. MAT with methadone or buprenorphine is the recommended standard of care in pregnancy — ACOG and SAMHSA both endorse it. Texas providers coordinate with obstetrics to monitor mother and baby throughout pregnancy and the neonatal period.
Do naltrexone providers in Texas offer sliding-scale fees?
Many Texas community behavioral-health agencies and federally qualified health centers offer sliding-scale fees based on household income. Sliding-scale fees commonly bring a weekly methadone visit down to $5–$25. Ask naltrexone providers in your area about discounted rates when you call.
What is the Texas Medicaid copay for naltrexone visits?
Texas Medicaid copays for MAT visits are typically $0–$3, and are often waived for patients with behavioral-health conditions. Pharmacy copays for buprenorphine or naltrexone prescriptions follow the same schedule.
Does insurance cover the counseling portion of naltrexone the same as the medication?
Yes. Parity law requires equal coverage for the medication and counseling components of MAT. Counseling copays often match mental-health visit copays (typically $20–$50 for commercial plans in Texas). Providers bill counseling and medication separately.
Can Texas patients get an extended take-home supply of naltrexone?
For methadone, SAMHSA’s 2024 final rule allows OTPs in Texas to grant up to 28 days of take-home doses once clinical-stability criteria are met. For buprenorphine, 30-day prescriptions are standard and 90-day fills are permitted in many Texas plans. Long-acting naltrexone is a single monthly injection, so no take-home supply applies.
How long does naltrexone treatment typically last in Texas?
Many Texas patients stay on naltrexone for a year or more, and some stay indefinitely. Duration depends on individual stability, quality of life, and risk of relapse. Research consistently shows that longer MAT duration is associated with lower overdose mortality.
How do I find a naltrexone provider near me in Texas?
Use the SAMHSA treatment locator at findtreatment.gov, filter by Texas, and search for medications offered. You can also browse our directory of naltrexone providers filtered to Texas, or call 988 for live referrals from a trained counselor.
Is the first naltrexone visit confidential?
Yes. Records are protected by 42 CFR Part 2, which is stricter than HIPAA. Your employer, family, or law enforcement cannot access your records without your specific written consent or a narrowly tailored court order. Confidentiality applies from the first visit onward.
Can naltrexone affect hormones or sexual function?
Long-term opioid-agonist therapy (methadone, buprenorphine) can lower testosterone in some men and affect menstruation in some women. Annual hormone panels are reasonable. Switching medications or adjusting dose resolves most cases; endocrinology referral is available in Texas for persistent issues.
Can I start naltrexone while already pregnant?
Yes. Starting MAT during pregnancy is strongly recommended for patients with OUD. Texas perinatal-addiction programs offer priority same-day access; OB-MAT coordinated care improves maternal and infant outcomes dramatically compared to untreated OUD.
Do I have to attend 12-step meetings along with naltrexone?
No. Attending 12-step programs is optional; SMART Recovery, Women for Sobriety, Refuge Recovery, and secular support groups are all acceptable alternatives. Texas MAT clinicians can help you match with a peer group aligned to your values.
Will I show up on any public registry for taking naltrexone?
No. There is no public registry of MAT patients. Texas’s prescription drug monitoring program (PDMP) tracks controlled-substance prescriptions but is accessible only to clinicians and law enforcement with a specific investigative basis.
Other Treatment Options in Texas
Naltrexone Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)