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482 Drug & Alcohol Rehabs In Texas

Find a free or private addiction rehab center in Texas. Use our search-by-city tool to find recovery near you.

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Drug and alcohol rehab centers in Texas

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TX

Symetria — Lewisville Outpatient Rehab & Suboxone Clinic

Lewisville, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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TX

Symetria — Fort Worth Outpatient Rehab & Suboxone Clinic

Fort Worth, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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TX

Symetria — Spring Outpatient Rehab & Suboxone Clinic

Spring, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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482 centers found (461–480)

AMPT Up for Change LLC facility photo

AMPT Up for Change LLC

Houston, TX

  • IOP

Substance use treatment · Does not use medication for opioid addiction · Cognitive behavioral therapy

Accepts: Cash or self-payment, Private health insurance

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TX

Navita Health | The Woodlands

The Woodlands, TX

Teen Mental Health, Teen Sud · Php, Iop, Op · Dbt, Cbt, Equine Therapy, Art Therapy, Individual Therapy, Group Therapy, Family Therapy, Mbct Therapy, Somatic Experiencing Therapy

Accepts: Insurance, Cash, Credit Card

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Symetria - Hurst Outpatient Rehab & Suboxone Clinic facility photo

Symetria - Hurst Outpatient Rehab & Suboxone Clinic

Hurst, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Symetria — Arlington Outpatient Rehab & Suboxone Clinic facility photo

Symetria — Arlington Outpatient Rehab & Suboxone Clinic

Arlington, TX

  • IOP
  • MAT

Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling · Adult Men, Adult Women, Pregnant/Postpartum Women

Accepts: Private Health Insurance, Medicare, Self Payment

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Symetria — College Station Outpatient Rehab & Suboxone Clinic facility photo

Symetria — College Station Outpatient Rehab & Suboxone Clinic

College Station, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Symetria — Fort Worth Outpatient Rehab & Suboxone Clinic facility photo

Symetria — Fort Worth Outpatient Rehab & Suboxone Clinic

Fort Worth, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Symetria — Houston Outpatient Rehab & Suboxone Clinic facility photo

Symetria — Houston Outpatient Rehab & Suboxone Clinic

Houston, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Symetria — Lewisville Outpatient Rehab & Suboxone Clinic facility photo

Symetria — Lewisville Outpatient Rehab & Suboxone Clinic

Lewisville, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Symetria — Spring Outpatient Rehab & Suboxone Clinic facility photo

Symetria — Spring Outpatient Rehab & Suboxone Clinic

Spring, TX

  • IOP
  • MAT

Substance Use Treatment, Treatment For Co Occurring Serious Mental Health Illness/Serious Emotional Disturbance And Substance Use Disorder · Brief Intervention, Cognitive Behavioral Therapy,Contingency Management/Motivational Incentives, Dialectal Behavior Therapy, Matrix Model, Trauma Related Counseling, Motivational Interviewing, Relapse Prevention, Rational Emotive Behavioral Therapy, Substance Abuse Counseling

Accepts: Most Private Insurances Accepted/ Sliding Fee Scale/Self Pay/Cash/Veterns & Military Insurances

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Find Texas Rehabs By City

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HoustonDallasSan AntonioAustinFort WorthEl PasoArlingtonLubbockCorpus ChristiLaredoWacoBeaumontOdessaPlanoAbileneAmarillo

All 476 Texas Cities With Rehab Listings

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More Info About Rehabs in Texas

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Texas covers more than 268,000 square miles, and the distance between you and the nearest open treatment bed can shape recovery as much as any clinical decision. The 482 centers listed here cluster heavily in the state's metro triangle — Houston, Dallas–Fort Worth, San Antonio, and Austin — while families in the Panhandle, West Texas, and stretches of the Rio Grande Valley often drive hours to reach residential care. Along the border, from El Paso to Laredo, bilingual and Spanish-language programming is a practical necessity rather than an amenity. Texas is also one of the 10 states that has not expanded Medicaid under the Affordable Care Act (KFF, 2026), a policy choice that narrows the coverage many adults assume they will have when they start looking. Add a young, fast-growing population and one of the busiest drug-trafficking corridors in the country, and the result is a treatment picture unlike any other state's. This page lays out what care in Texas actually looks like, what it costs, and where to begin.

Rehab Statistics in Texas

Sober Nation lists 482 treatment centers across Texas. The largest concentration is in Houston, with 63 listed centers, followed by Dallas and San Antonio at 28 each, Austin at 24, and Fort Worth at 23. Beyond those metros the listings thin out quickly: El Paso has 12, Arlington 9, Lubbock 8, and Corpus Christi and Laredo 7 apiece. That distribution roughly tracks where Texans live, but it also shows how heavily much of the state leans on a handful of urban hubs for specialized and residential care.

Statewide prevalence tells the other half of the story. An estimated 15.8% of Texas adults — about 1 in 6 — met criteria for a substance use disorder in the past year (SAMHSA NSDUH, 2022–2023), yet only a minority receive treatment: among Texas adults who needed substance use care, roughly 77% did not receive it (SAMHSA NSDUH, 2022–2023). Drug overdose deaths in Texas totaled roughly 5,000 in 2024 (CDC provisional data), down from about 5,700 in 2023, with illicitly manufactured fentanyl remaining the leading driver of those deaths. Read together, these numbers explain why bed availability, level of care, and how you pay all carry real weight here.

Levels of Care Available in Texas

Where you start depends on how severe the substance use is and whether it is safe to withdraw at home. Medically supervised detox, offered by 30% of listed Texas centers, is the entry point when withdrawal carries physical risk, as with alcohol, benzodiazepines, or opioids. Residential (inpatient) programs, available at 25% of centers, provide around-the-clock structure for people who need distance from their triggers.

The most widely available option is outpatient care, offered by 85% of listed centers, which lets you keep working or caring for family while attending scheduled sessions. Intensive outpatient (IOP), a step up in structure, appears in only 1% of listings, so that middle tier may be harder to find. Medication-assisted treatment (MAT) — buprenorphine, methadone, or naltrexone paired with counseling — is offered by 36% of centers and is a standard of care for opioid use disorder. Aftercare, at 85%, supports the long stretch after formal treatment ends.

Paying for Rehab in Texas

How you pay narrows the field fast. Among listed Texas centers, 61% accept Medicaid and 24% accept Medicare, while only 1% are recorded as taking private insurance in our data — though many facilities work with commercial plans directly, so confirm coverage before ruling a center out. Because Texas has not expanded Medicaid (KFF, 2026), many low-income adults without dependent children do not qualify, which pushes some toward state-funded programs, sliding-scale clinics, or self-pay arrangements.

Federal law requires most health plans that cover substance use treatment to do so on par with other medical care (Mental Health Parity and Addiction Equity Act; U.S. Department of Labor), but the specifics vary from plan to plan. Texas also funds treatment for uninsured and underinsured residents through the Texas Health and Human Services Commission and its network of state-funded providers. Before committing, ask each center for a written cost estimate, verify exactly what your plan covers, and ask whether financing or scholarship beds are available.

State Resources & Substance Abuse Organizations

A few starting points if you need help outside a specific facility:

  • The Texas Health and Human Services Commission (HHSC) is the state agency that funds and oversees publicly funded substance use services for eligible residents. Its Outreach, Screening, Assessment and Referral (OSAR) centers offer free, region-by-region help finding care, and HHSC maintains a directory of state-funded adult substance use services.
  • NAMI Texas, the state chapter of the National Alliance on Mental Illness, connects families to local affiliates, support groups, and education — helpful when substance use and mental health conditions overlap.
  • The 988 Suicide & Crisis Lifeline provides free, confidential support 24/7 by call or text at 988 for anyone in crisis, including substance-related emergencies.

If you or a loved one is in immediate danger, call 911.

Frequently Asked Questions

How do I find treatment in rural parts of Texas?
Rural Texans can live hours from residential care, so start with the state's OSAR (Outreach, Screening, Assessment and Referral) centers, which cover every region and help locate the nearest options. Telehealth outpatient and medication-assisted treatment programs have also expanded, letting some people begin care without relocating far from home.
Does Texas Medicaid cover drug and alcohol rehab?
Texas Medicaid covers many substance use services, including outpatient counseling and medication-assisted treatment, for those who qualify. Because Texas has not expanded Medicaid, low-income adults without dependent children may not be eligible, so verify your status directly with the state before assuming a program will be covered.
Is Spanish-language rehab available in Texas?
Yes. Along the border and in major metros like Houston, San Antonio, and El Paso, many centers offer bilingual staff and Spanish-language programming. When you call, ask specifically whether counseling, family sessions, and support groups are available in Spanish, since availability differs from one facility to the next.

Sources

  1. 1.Texas has not expanded Medicaid under the Affordable Care Act (intro reference); as of 2026, 41 states plus DC have adopted expansion and 10, including Texas, have not. https://www.kff.org/medicaid/status-of-state-medicaid-expansion-decisions/
  2. 2.Estimated share of Texas adults (18+) meeting criteria for a substance use disorder in the past year: 15.75% (SAMHSA NSDUH 2022-2023 state tables, Texas, Table 98B). https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-texas.pdf
  3. 3.Substance use disorder treatment gap in Texas: 76.95% of adults (18+) classified as needing substance use treatment did not receive it (SAMHSA NSDUH 2022-2023 state tables, Texas, Table 98B). https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-texas.pdf
  4. 4.Annual drug overdose deaths in Texas (12-month-ending December, CDC VSRR provisional): approx. 5,028 in 2024 and 5,727 in 2023, with counts declining into 2025. https://data.cdc.gov/NCHS/VSRR-Provisional-Drug-Overdose-Death-Counts/xkb8-kh2a
  5. 5.Texas Medicaid non-expansion status and its effect on eligibility for low-income adults without dependent children (KFF, 2026). https://www.kff.org/medicaid/status-of-state-medicaid-expansion-decisions/
  6. 6.Federal mental health and substance use parity requirements (Mental Health Parity and Addiction Equity Act, MHPAEA) as they apply to health plans that cover behavioral health. https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/mental-health-and-substance-use-disorder-parity
  7. 7.Texas state funding of substance use treatment for uninsured and underinsured residents via HHSC's state-funded adult substance use services. https://www.hhs.texas.gov/services/mental-health-substance-use/adult-substance-use-services
  8. 8.Texas Health and Human Services Commission (HHSC) is the state agency that funds and oversees publicly funded adult substance use services. https://www.hhs.texas.gov/services/mental-health-substance-use/adult-substance-use-services
  9. 9.Official page and directory for Texas OSAR (Outreach, Screening, Assessment and Referral) centers, organized by the 11 HHS regions. https://www.hhs.texas.gov/services/mental-health-substance-use/mental-health-substance-use-resources/outreach-screening-assessment-referral
  10. 10.Official website for NAMI Texas (state chapter of the National Alliance on Mental Illness). https://namitexas.org/
  11. 11.Official website for the 988 Suicide & Crisis Lifeline (call or text 988, 24/7). https://988lifeline.org/