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Pathway Recovery

By State · SAMHSA-verified directory

Addiction treatment in Virginia

428 verified treatment centers across Virginia. Overdose rate 26.9 per 100,000 (CDC 2023) · Medicaid expanded.

428

Centers

127

Cities

Expanded

Medicaid

24/7

Helpline

Map of treatment centers in Virginia

371 locations with a mapped address. Select a marker to open its page.

Need help choosing?

Free & confidential · 24/7 · Insurance verified while you are on the line.

(229) 540-1666

Cities in Virginia with verified facilities

127 cities. Click through for city-specific listings.

Alexandria

53 centers

Richmond

31 centers

Williamsburg

13 centers

Norfolk

13 centers

Winchester

12 centers

Arlington

11 centers

Virginia Beach

10 centers

Newport News

9 centers

Glen Allen

9 centers

Roanoke

8 centers

Manassas

8 centers

Vienna

6 centers

Fredericksburg

6 centers

Charlottesville

6 centers

Annandale

6 centers

Wytheville

5 centers

Suffolk

5 centers

McLean

5 centers

Lynchburg

5 centers

Harrisonburg

5 centers

Galax

5 centers

Fairfax

5 centers

Danville

5 centers

Chesapeake

5 centers

Reston

4 centers

Petersburg

4 centers

Leesburg

4 centers

Henrico

4 centers

Hampton

4 centers

Culpeper

4 centers

Abingdon

4 centers

Warrenton

3 centers

Salem

3 centers

Pulaski

3 centers

Pounding Mill

3 centers

Martinsville

3 centers

Great Falls

3 centers

Gloucester

3 centers

Front Royal

3 centers

Falls Church

3 centers

Fairfax Station

3 centers

Clintwood

3 centers

Christiansburg

3 centers

Chantilly

3 centers

Cedar Bluff

3 centers

Woodstock

2 centers

Woodbridge

2 centers

Tappahannock

2 centers

Sterling

2 centers

Staunton

2 centers

Stafford

2 centers

South Boston

2 centers

Rocky Mount

2 centers

Radford

2 centers

Pennington Gap

2 centers

Parksley

2 centers

Norton

2 centers

North Chesterfield

2 centers

Midlothian

2 centers

Mechanicsville

2 centers

Luray

2 centers

Lebanon

2 centers

Kilmarnock

2 centers

Hopewell

2 centers

Herndon

2 centers

Franklin

2 centers

Forest

2 centers

Fishersville

2 centers

Covington

2 centers

Chester

2 centers

Bristol

2 centers

Blacksburg

2 centers

Big Stone Gap

2 centers

Ashburn

2 centers

Yorktown

1 centers

Wise

1 centers

Weber City

1 centers

Waverly

1 centers

Waterford

1 centers

Vinton

1 centers

Triangle

1 centers

Tazewell

1 centers

Surry

1 centers

Stuart

1 centers

Springfield

1 centers

Smithfield

1 centers

Saltville

1 centers

Saint Charles

1 centers

Ruther Glen

1 centers

Providence Forge

1 centers

Prince George

1 centers

Powhatan

1 centers

Portsmouth

1 centers

Pearisburg

1 centers

Milford

1 centers

Marion

1 centers

Manakin-Sabot

1 centers

Locust Grove

1 centers

Lexington

1 centers

Lawrenceville

1 centers

Lancaster

1 centers

King George

1 centers

Jonesville

1 centers

Independence

1 centers

Honaker

1 centers

Hayes

1 centers

Hanover

1 centers

Grundy

1 centers

Gretna

1 centers

Goochland

1 centers

Floyd

1 centers

Farmville

1 centers

Emporia

1 centers

Dumfries

1 centers

Duffield

1 centers

Dublin

1 centers

Dinwiddie

1 centers

Cross Junction

1 centers

Colonial Heights

1 centers

Clifton

1 centers

Chesterfield

1 centers

Centreville

1 centers

Boydton

1 centers

Bedford

1 centers

Axton

1 centers

Ashland

1 centers

Aldie

1 centers

Understanding treatment in Virginia

Virginia has 428 licensed addiction-treatment centers. That number obscures more than it reveals — about who gets treatment, what they pay, and what happens when they leave it. The rest of this page is an attempt to say something more useful than the number.

The Medicaid question

The Medicaid story in Virginia: Virginia expanded Medicaid in 2019 under the Affordable Care Act. Has realistic access to Medicaid coverage for addiction treatment once enrolled. No individual clinical decision, no facility-level quality variation, changes the underlying math. States that expanded have a treatment system; states that did not have a triage system.

The overdose-mortality context

The overdose rate in Virginia is 26.9 per 100,000 — a number that is rarely cited without caveat, because averages smooth out the specific places and specific populations where death concentrates. Appalachian-southwest counties differ markedly in access from Northern Virginia That geographic and demographic inequality is the thing the top-line number cannot tell you.

How access actually works in Virginia

Most Virginia families trying to find treatment discover three things in the first week: the website information is often out of date; the phone interviews differ by who picks up; and the actual admissions workflow runs through insurance verification rather than clinical assessment. The practical context here is that Appalachian-southwest counties differ markedly in access from Northern Virginia — which is why the system rewards patience and specific questions.

What to do next

Practically, three things happen next if someone in Virginia is going to get help: a clinical assessment (by someone whose incentives are clinical, not financial), an insurance verification (in writing), and a facility selection (ASAM-aligned and MAT-inclusive). In that order. Reversing the order is the most common source of the "they said they took my insurance but I got a $15,000 bill" stories.

Last updated September 2026. Sources: SAMHSA Treatment Locator, CDC WONDER (overdose mortality 2023), KFF Medicaid Tracker, ASAM Criteria 4e. See our editorial policy.