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

Naltrexone Treatment Centers in Texas

Medically reviewed by Sarah Mitchell, LCSWLast reviewed: April 2026

Our directory lists 159 naltrexone providers across Texas, with the largest concentrations in Houston (18), Dallas (14) and Austin (12).

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 Medicaid covers substance abuse services
  • Extensive treatment options across major cities
  • Diverse cultural and linguistic program offerings
  • Growing number of luxury treatment centers
  • Specialized programs for veterans and first responders

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Coverage & Regulations in Texas

Texas Medicaid

Texas Medicaid covers buprenorphine and naltrexone for eligible adults; methadone for OUD is reimbursed at licensed Narcotic Treatment Programs.

State regulations

Texas Health and Human Services Commission licenses NTPs under 25 TAC §229; the state operates a grant-funded Targeted Opioid Response (TOR) network.

SAMHSA National Helpline: 1-800-662-4357Crisis: 988
Top Cities for Naltrexone Treatment in Texas
Houston
18 centers
Dallas
14 centers
Austin
12 centers
San Antonio
9 centers
El Paso
8 centers
Amarillo
4 centers
Fort Worth
4 centers
Abilene
4 centers
Commonly Accepted Insurance
  • Cash or self-payment145
  • Private health insurance142
  • Medicaid101
  • Federal, or any government funding for substance use treatment programs84
  • Federal military insurance (e.g., TRICARE)80
  • Medicare75
Available Settings
  • Outpatient138
  • Regular outpatient treatment108
  • Outpatient methadone/buprenorphine or naltrexone treatment104
  • Intensive outpatient treatment88
  • Residential/24-hour residential46

Naltrexone providers in Texas

Tyler, TX

903-596-0606

Nestled in Tyler, TX, Addiction Alternatives for Opioid provides targeted outpatient care for those aiming for opioid detox and recovery. Their services include outpatient detox, medication-assisted treatment with methadone, buprenorphine, or naltrexone, and utilizes proven methods like brief intervention, CBT, and motivational interviewing. Tailored programs are available for adult men, adult women, and individuals affected by domestic violence. Catering to adults and young adults of all genders, the center is dedicated to personalized support and comprehensive healing.

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San Angelo, TX

325-224-3481

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

Georgetown, TX

866-568-9936 x1

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

Jourdanton, TX

830-266-7730

Situated in Jourdanton, Texas, the Atascosa SUD Outpatient Clinic delivers a wide array of services for addiction recovery. This center focuses on detox and treatment for substance use, providing various levels of care, including intensive outpatient programs, general outpatient services, and partial hospitalization options. The clinic employs proven methodologies like the Matrix Model, strategies for relapse prevention, and counseling directed at substance use disorders. It supports a diverse population, including active duty military personnel, adolescents, and adult males. Committed to serving individuals of all ages and genders, the Atascosa SUD Outpatient Clinic is dedicated to offering customized and high-quality care, making it a premier option for those in need of effective addiction recovery solutions.

Houston, TX

713-426-0027

Avenue 360 Health and Wellness, situated in Houston, TX, delivers a thorough program for addressing substance use challenges. Their services encompass intensive outpatient care, general outpatient support, and specialized medication-assisted treatment options like methadone, buprenorphine, or naltrexone. Employing proven therapeutic methods such as brief intervention, the Matrix Model, and motivational interviewing, this establishment serves adults and older adults, regardless of gender. Avenue 360 Health and Wellness has particular expertise in assisting individuals with a history of trauma, those living with HIV or AIDS, and members of the LGBTQ+ population. Their commitment to high-quality, personalized treatment plans aims to support individuals in attaining sustained recovery.

Waelder, TX

800-547-4615

At its Waelder, TX location, Banyan Texas LLC provides extensive support for adults and young adults facing addiction and co-occurring mental health issues. They offer a spectrum of care, including intensive outpatient, extended residential, and outpatient programs. Their therapeutic methods are rooted in proven strategies like 12-step integration, anger control, and brief intervention. Banyan Texas LLC distinguishes itself with tailored programs designed for active military service members, adult men, and adult women, addressing the unique needs of various groups. Prioritizing personalized attention and high-standard care, Banyan Texas LLC is a premier destination for those pursuing successful and empathetic recovery.

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San Antonio, TX

210-588-0508

Situated in San Antonio, TX, Blue Heron Recovery delivers a wide range of addiction treatment options for both adults and young adults. This center specializes in detox services, treatment for substance use disorders, and focused support for those dealing with co-occurring mental health issues. Offering various treatment modalities such as intensive outpatient programs, outpatient care, and day treatment, Blue Heron Recovery customizes its approach to address the specific requirements of each individual. Their methodology combines elements like 12-step facilitation, anger management strategies, and brief intervention practices. The personalized programs are designed to support both male and female clients, fostering an inclusive and encouraging atmosphere for everyone on the path to recovery.

Abilene, TX

325-690-5100

Abilene Betty Hardwick, located in Abilene, TX, delivers a full spectrum of recovery support for adults and older adults. They feature intensive outpatient, general outpatient, and outpatient detox options. This center excels in addressing addiction and co-occurring psychological challenges, employing proven methods like cognitive behavioral therapy, motivational interviewing, and techniques to prevent relapse. Prioritizing personalized attention, Abilene Betty Hardwick crafts treatment paths suited to each individual's specific circumstances. Both men and women are served with distinguished, gender-attuned care at this esteemed recovery establishment.

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Dallas, TX

469-372-1277

Cagnollatti and Henderson Inc, located in Dallas, TX, provides outpatient detox and programs for substance use disorders. Their offerings encompass outpatient treatments with methadone, buprenorphine, or naltrexone, as well as regular outpatient services, motivational interviewing, relapse prevention strategies, and counseling for substance use issues. This center is designed to support adult men and women, including those who are pregnant or in the postpartum phase. With a commitment to high-quality, evidence-informed care, Cagnollatti and Henderson Inc creates a nurturing atmosphere for individuals pursuing recovery from addiction.

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Nacogdoches, TX

936-558-6200

Burke Mental Health in Nacogdoches, TX, provides outpatient services for individuals of all ages dealing with addiction and dual diagnoses. Their expertise includes 12-step support, strategies for controlling anger, and concise therapeutic approaches, ensuring customized support for those facing intricate challenges. This center delivers specialized programs for people with both mental health and substance use issues, serving adults and older adults across the gender spectrum. Whether you require ongoing outpatient therapy or medication-assisted treatment like methadone or buprenorphine, Burke Mental Health offers effective care within a welcoming setting. Opt for Burke Mental Health for thorough, individualized treatment as you begin your journey toward healing.

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El Paso, TX

915-779-4527 x1109

Aliviane Inc, located in El Paso, TX, provides extensive addiction treatment services, specializing in intensive outpatient, outpatient, and medication-assisted treatment options including methadone, buprenorphine, and naltrexone. Utilizing scientifically proven methods such as anger management, cognitive behavioral therapy, and motivational interviewing, this establishment delivers customized support to adults, youth, and young adults regardless of gender. A key distinction of Aliviane Inc is its creation of unique treatment itineraries, guaranteeing customized assistance for every individual. With an unwavering dedication to superior care, Aliviane Inc is committed to guiding people toward a life free from addiction.

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Houston, TX

713-705-3490

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

Austin, TX

737-222-5155

Bee Cave Recovery, situated in Austin, TX, specializes in extensive substance abuse treatment for adults, as well as addressing co-occurring mental health issues in both children and adults. The center features intensive outpatient and outpatient treatment options that emphasize 12-step methods, cognitive behavioral therapy, and anger management. Catering to a variety of needs, Bee Cave Recovery has tailored programs for active duty military members and specific groups such as adult men and women. This facility is committed to providing high-quality care and personalized treatment strategies to foster enduring recovery for individuals of all genders, including children and adolescents.

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Austin, TX

512-444-5092

Aeschbach and Associates Inc. in Austin, TX offers thorough outpatient care for those needing detox and help with substance use. They have expertise with dual diagnoses and provide outpatient detox and medication-assisted treatment options. Their programs include anger management, brief counseling, and cognitive behavioral therapy, specifically designed for adult women who have experienced intimate partner violence, domestic abuse, or sexual assault. They welcome adults and younger individuals of any gender, delivering personalized, evidence-based support for their recovery journey.

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Lufkin, TX

936-630-3799

Burke, located in Lufkin, TX, provides outpatient treatment for individuals grappling with substance use issues, including both adults and children facing concurrent mental health conditions. The center specializes in 12-step support and anger management, offering structured outpatient services alongside methadone and buprenorphine therapies. Programs are specifically designed for those with dual diagnoses, ensuring that clients receive well-rounded care. Burke caters to a diverse clientele, including adults and seniors, and emphasizes evidence-based treatment methods with personalized plans aimed at fostering sustained recovery. With an emphasis on compassion and quality care, this Lufkin center is dedicated to promoting holistic wellness for individuals aspiring to overcome addiction and mental health difficulties.

San Antonio, TX

210-735-3822

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

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Crockett, TX

936-639-2384

Situated in Crockett, TX, Burke Mental Health provides outpatient care for individuals grappling with substance use issues alongside concurrent mental health conditions for both adults and children. The center employs various methodologies, including 12-step programs, anger management, and short-term interventions. It features specialized services for those with dual diagnoses. Burke Mental Health caters to adults and seniors of all genders, emphasizing personalized treatment and scientifically supported methods to foster long-term recovery. If you or someone you care about is in search of thorough and customized addiction treatment that emphasizes mental well-being, this center offers a nurturing space for recovery and development.

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Tyler, TX

845-769-8758

Affect Therapeutics Inc, situated in Tyler, TX, delivers targeted outpatient care for individuals struggling with substance use disorders. Their services encompass various levels of outpatient care, including medication-assisted treatment options such as methadone, buprenorphine, and naltrexone, as well as standard outpatient programs. By employing proven therapeutic techniques like contingency management, motivational interviewing, and the Matrix Model, the center prioritizes tailored recovery plans. Affect Therapeutics Inc welcomes both male and female patients, fostering an environment conducive to recovery.

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San Antonio, TX

210-541-8400

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

Pharr, TX

956-787-7111

Behavioral Health Solutions of in Pharr, TX, delivers targeted outpatient services for substance use for individuals of all ages, including children, teens, and adults. This center emphasizes consistent outpatient support while employing customized strategies such as anger management, short-term interventions, and cognitive behavioral therapy. A standout feature of their program is the individualized treatment plans designed to meet the specific needs of each client. Committed to high-quality care, this facility serves both men and women who are in need of thorough and effective assistance with addiction. If you are searching for personalized outpatient treatment in Pharr, you can rely on Behavioral Health Solutions of to aid you on your path to recovery.

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Georgetown, TX

512-863-8968

Bluebonnet Trails Community Services, located in Georgetown, TX, provides an extensive range of addiction treatment services for both adults and children. The facility is particularly adept at managing detoxification, addressing substance use issues, and treating co-occurring disorders. It offers both intensive outpatient and outpatient programs designed to meet various needs. The center emphasizes 12-step facilitation, anger management, and concise intervention strategies, serving adult men, women, and adolescents alike. With specialized programs tailored to different demographics, Bluebonnet Trails Community Services is dedicated to offering personalized, evidence-based care to assist clients throughout their recovery process.

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Showing 21 of 159 naltrexone providers in Texas. Browse all centers in Texas

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 28-day take-home methadone doses?

Yes. SAMHSA’s 2024 final rule allows OTPs in Texas to grant up to 28 days of take-home methadone once the patient meets clinical-stability criteria. Your clinician adjusts the take-home schedule based on drug screens, attendance, and time in treatment.

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

Medically ReviewedUpdated: April 2026
Sources:SAMHSANIDACDC

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