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Drug & alcohol rehab centers in Las Vegas, NV

Compare 54 addiction treatment centers in and around Las Vegas, reviewed against accreditation and licensing standards. Filter by level of care, insurance accepted, and specialty programs to narrow down drug and alcohol rehab options in Nevada for yourself or someone you love.

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54 addiction treatment centers in Las Vegas, NV

Showing 1–25 How results are ordered

Thumbnail Name Address Phone Treatment Insurance About
Choices Group NV 89104

Choices Group

1785 East Sahara Avenue Suite 160, Las Vegas, NV 89104

  • Outpatient
  • Medicaid
  • Private insurance

Choices Group was one of the leading providers of substance use and mental health services in Las Vegas, Nevada. For several years, they offered essential services to people living with addiction and co-occurring disorders. They have since closed their doors. Extensive Outpatient Treatments Choices Group offered a variety of outpatient programs to aid in the recovery process to include intensive…

Adelson Clinic NV 89169

Adelson Clinic

3661 South Maryland Parkway Suite 64, Las Vegas, NV 89169

  • Detox
  • Outpatient
  • Medicaid

The Adelson Clinic is located in beautiful Las Vegas, Nevada and has been helping Clark County residents battle mental health and addiction since 2009. By providing a holistic and compassionate approach, this facility has helped patients thrive after treatment. With plenty of payment options to choose from like private insurance, Medicaid, Medicare and self-pay, The Adelson Clinic will not turn…

Desert Hope Treatment Center NV 89121

Desert Hope Treatment Center

2465 East Twain Avenue, Las Vegas, NV 89121

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Desert Hope Treatment Center is a premier addiction treatment center in Las Vegas, Nevada serving adults with substance use disorders and co-occurring mental health conditions. The facility offers a full continuum of care including medical detox and residential treatment, partial hospitalization and intensive outpatient, sober living and alumni support. Desert Hope emphasizes individualized and evidence based recovery planning within a…

Desert Hope Outpatient Center NV 89169

Desert Hope Outpatient Center

3441 South Eastern Avenue, Las Vegas, NV 89169

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Desert Hope’s Outpatient Center is located in Las Vegas, Nevada. This facility offers outpatient addiction treatment to individuals who need substance abuse recovery. They also help with co-occurring disorders that involve mental health issues. What to Expect with Treatment Their programs offer a wide range of treatment modalities and therapy styles. They also offer case management and discharge planning to…

Las Vegas Comprehensive Treatment Center NV 89109

Las Vegas Comprehensive Treatment Center

2887 South Maryland Parkway, Las Vegas, NV 89109

  • Detox
  • Outpatient
  • Medicaid

Comprehensive Treatment Center (CTC) provides opioid addiction services in Las Vegas, Nevada. The goal is to help adults 18 and older break the cycle of substance abuse with expert addiction care. Flexible Withdrawal Treatment CTC offers medication-assisted treatment (MAT) to help reduce cravings and ease withdrawal symptoms so you can be more comfortable and avoid relapse issues. Their outpatient program…

The Nestled Recovery Center NV 89146

The Nestled Recovery Center

2860 South Bronco Street, Las Vegas, NV 89146

  • Detox
  • Inpatient
  • Private insurance

Situated in Las Vegas, Nevada, The Nestled Recovery Center is a boutique, luxury drug and alcohol addiction treatment center that has the capacity of only 10 clients at a time. It is extremely exclusive and personal, set in a serene, home-like environment that can provide deep healing and long-term recovery. They use clinical therapies and holistic practices in a combination…

Vogue Recovery Center Las Vegas NV 89121

Vogue Recovery Center Las Vegas

4011 McLeod Drive, Las Vegas, NV 89121

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Vogue Recovery Center Las Vegas is a luxury dual diagnosis treatment facility based in a quiet corner of Las Vegas, Nevada. They specialize in getting to the root of alcohol and drug addiction through comprehensive mental health support services and additional holistic therapies. They can treat addiction to alcohol, stimulants like Adderall or ecstasy, cocaine, fentanyl, heroin, marijuana, methamphetamine, opioids,…

Crossroads of Southern Nevada NV 89102

Crossroads of Southern Nevada

2121 W Charleston Blvd, Las Vegas, NV 89102

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

CrossRoads of Southern Nevada is a CARF-accredited drug rehab licensed by the State of Nevada and SAPTA (Substance Abuse Prevention and Treatment Agency). You’ll find it in the heart of Las Vegas, offering a conveniently central location nearby other supportive service organizations. Support is available to clients aged 18 and older, and most major insurance providers are accepted. A Medical…

Luxe Treatment Center NV 89149

Luxe Treatment Center

4845 N Riley St, Las Vegas, NV 89149

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Luxe Treatment Center in Las Vegas, Nevada, offers a comprehensive continuum of care, including inpatient detox and treatment, as well as outpatient programs. They focus on providing patients with evidence-based treatments and customized care. Detox Services To Begin Recovery The facility is convenient to I-11 and only 25 miles from the Harry Reid International Airport for clients who may be…

Icarus Alcohol and Drug Rehab Las Vegas

Icarus Alcohol and Drug Rehab Las Vegas

7536 Mount Spokane Ct, Las Vegas, NV 89113

  • Detox
  • Inpatient
  • Outpatient

Icarus Behavioral Health offers alcohol and drug rehabilitation in Las Vegas, Nevada. They also have treatment for co-occurring mental health issues and offer guests comprehensive care plans that meet their unique needs. Whole-Person Care One of the areas the program focuses on is whole-body wellness to restore your health instead of concentrating only on addiction. The center has views of…

Map showing Virtue Recovery Center Las Vegas

Virtue Recovery Center Las Vegas

8225 W Robindale Rd, Las Vegas, NV 89113

  • Detox
  • Inpatient

Virtue Recovery Center Las Vegas is a substance use and behavioral health treatment provider serving adults in southwestern Las Vegas, Nevada. The center treats drug and alcohol addiction, trauma and co-occurring mental health conditions through residential and outpatient programs. Their approach blends evidence based care with holistic therapies in a comfortable, villa style residential setting designed to support lasting recovery.…

Center for Behavioral Health Desert Inn NV 89121

Center for Behavioral Health Desert Inn

3050 East Desert Inn Suite 116, Las Vegas, NV 89121

  • Detox
  • Outpatient
  • Medicaid

Center for Behavioral Health Desert Inn is an outpatient opioid addiction treatment center located in Las Vegas, Nevada, offering medication assisted treatment and comprehensive recovery support. The center provides evidence-based care through a multidisciplinary team of medical staff, counselors and peer support specialists treating opioid use disorder and co-occurring mental health conditions. Their approach delivers dignified, respectful treatment with low-barrier…

Partida Corona Medical Center NV 89121

Partida Corona Medical Center

2950 East Flamingo Road Suite E, Las Vegas, NV 89121

  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Partida Corona Medical Center is an outpatient addiction treatment provider in Las Vegas, Nevada offering medication assisted treatment alongside integrated primary care. The clinic specializes in opioid dependence, providing office based Suboxone and buprenorphine treatment, counseling, telemedicine visits and co-occurring mental health support. Patients consistently praise the fast, professional and compassionate service. What addiction programs are offered? Partida Corona Medical…

WestCare Women and Childrens Campus NV 89130

WestCare Women and Childrens Campus

5659 West Duncan Drive, Las Vegas, NV 89130

  • Detox
  • Inpatient
  • Medicaid
  • Private insurance

WestCare Women and Children's Campus is a residential addiction treatment center in Las Vegas, Nevada, offering substance use and co-occurring mental health care designed specifically for women. The campus provides multiple programs, including residential treatment, transitional living and a specialized track for women veterans. Clients and families value the family centered model that allows mothers to live on-site with their…

New Beginnings Counseling Centers NV 89121

New Beginnings Counseling Centers

3675 Pecos McLeod Suite 900, Las Vegas, NV 89121

  • Detox
  • Outpatient
  • Medicaid

New Beginnings Counseling Centers is an addiction treatment provider in Las Vegas, Nevada specializing in medication assisted treatment and outpatient services for substance use disorders. The center offers intensive outpatient programs and detox, individual and group counseling, and methadone maintenance for adults struggling with opioid, alcohol and other addictions. Clients appreciate the flexible care options, including telehealth services and bilingual…

Shannon West Homeless Youth Center

Shannon West Homeless Youth Center

1640 E Flamingo Rd, Las Vegas, NV 89119

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Shannon West Homeless Youth Center, operated by HELP of Southern Nevada, is a state-certified outpatient treatment program serving youth and young adults ages 18 to 24 who are experiencing homelessness or housing instability in Las Vegas. The center provides early outpatient substance use and co-occurring treatment alongside safe housing, intensive case management and life-skills support. Shannon West combines recovery services…

Gallus Medical Detox Centers | Las Vegas

Gallus Medical Detox Centers | Las Vegas

1550 W Craig Rd Suite 310, Las Vegas, NV 89032

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Gallus Medical Detox Centers in Las Vegas, Nevada is a specialized medical detox facility offering inpatient withdrawal management for adults struggling with drug and alcohol addiction. The center uses the proprietary "Gallus Method" combining IV and oral medications with 24/7 medical supervision to minimize withdrawal symptoms and improve comfort during detox. Clients appreciate the private, homelike setting and the discretion…

The Fearless Kind NV 89120

The Fearless Kind

4315 Helaman Avenue, Las Vegas, NV 89120

  • Inpatient
  • Women
  • Private insurance

The Fearless Kind is a women's addiction treatment center in Las Vegas, Nevada offering residential programs for substance use and cooccurring mental health conditions. The program blends evidence-based therapies with holistic approaches in a homelike environment designed to support healing from the root causes of addiction, trauma and related challenges. Treatment typically lasts 30 days, with options for extended care…

Vance Johnson Recovery Center VJRC Las Vegas NV 89109

Vance Johnson Recovery Center VJRC Las Vegas

2651 Westwood Drive, Las Vegas, NV 89109

  • Inpatient
  • Outpatient
  • Private insurance

Vance Johnson Recovery Center VJRC Las Vegas is a rehab located in Las Vegas, Nevada. Vance Johnson Recovery Center VJRC Las Vegas specializes in the treatment of addiction.

Lionheart Recovery Center NV 89120

Lionheart Recovery Center

6565 Tomiyasu Ln, Las Vegas, NV 89120

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

Lionheart Recovery Center is a residential addiction treatment facility in Las Vegas, Nevada offering treatment in a private secluded setting near Sunset Park. They provide treatment plans designed to address both substance use and underlying mental health concerns with a strong emphasis on preparing clients for lasting recovery through practical life skills training. TraumaInformed Dual Diagnosis Treatment in Las Vegas…

Map showing HELP of Southern Nevada

HELP of Southern Nevada

1640 E Flamingo Rd #100, Las Vegas, NV 89119

  • Detox
  • Inpatient
  • Outpatient
  • Private insurance

HELP of Southern Nevada is a community based substance use treatment provider in Las Vegas, Nevada, offering individualized outpatient care for substance use and mental health disorders. The program provides screening and assessments, outpatient counseling, telehealth services, crisis intervention and comprehensive case management. As part of a long running nonprofit, it connects clients to broader support like housing and workforce…

Map showing Vegas Stronger

Vegas Stronger

916 N Main St, Las Vegas, NV 89101

  • Detox

Vegas Stronger is a nonprofit addiction treatment center in Las Vegas, Nevada, offering integrated behavioral healthcare for adults facing substance use disorders, mental health challenges and homelessness. The organization provides a full continuum of care, including medically supervised detox, residential treatment, PHP, IOP, and outpatient programs, all designed to remove barriers and offer immediate access. With a trauma informed, evidence…

Map showing Crossroads Community Resource Center Outpatient Services

Crossroads Community Resource Center Outpatient Services

1120 Shadow Ln, Las Vegas, NV 89102

  • Detox
  • Inpatient
  • Outpatient
  • Medicaid
  • Private insurance

Crossroads Community Resource Center Outpatient Services is an outpatient addiction treatment provider located on Shadow Lane in Las Vegas, Nevada. The program offers substance use treatment supported by a broader continuum that may include detox, inpatient and partial hospitalization, intensive outpatient and sober living options. With gender specific programming and military focused support, Crossroads aims to meet the needs of…

ABC Therapy Las Vegas NV 89101

ABC Therapy Las Vegas

730 North Eastern Avenue Suite 130, Las Vegas, NV 89101

  • Outpatient
  • Medicaid
  • Private insurance

ABC Therapy Las Vegas provides outpatient mental and behavioral health care for adults, couples, and families in Las Vegas, Nevada, including specialized services for persons with co-occurring addiction and mental illness. Dedicated programming is also available for justice-involved persons, young adults, and Spanish-language speakers. Their primary treatment modalities include intensive individual, group, and family counseling, addiction education, and recovery-focused life-skills…

Community Counseling Center of Southern Nevada NV 89104

Community Counseling Center of Southern Nevada

714 East Sahara Avenue, Las Vegas, NV 89104

  • Outpatient

The Community Counseling Center of Southern Nevada offers behavioral health services on an outpatient basis. They specialize in the treatment of mental health disorders, including substance use and dual diagnosis, using individual and group therapy. Treatment is available to anyone who needs it, with specialist programs for families and adolescents, and telehealth options. The center’s located in Las Vegas, Nevada.

Rehab centers in cities near Las Vegas

Treatment centers in nearby cities, closest to Las Vegas first. Filter by insurance, level of care, and who the program is designed for.

See Nevada rehab centers →

Jo Harvey, MS, HDFS

Addiction Specialist, Speaker, Author, Coach

Full bio

Expert insight

“This is a huge spike in overdose deaths, meaning the easy access to Narcan could have potentially saved all or a large portion of those lives.”

The U.S. Food and Drug Administration recently approved the sale of Narcan without a prescription. Known as the overdose-reversing drug, Narcan is the first opioid treatment to be sold over the counter. And this will have what many experts hope will have a positive impact on Las Vegas. According to the Nevada Health Department, there were 1,412 opioid-related deaths in Clark County from 2018 to 2022.

Frequently asked questions

What to know about rehab in Las Vegas

How We Rank Listings

Our directory brings together drug and alcohol rehab centers across Las Vegas so you can compare them in one place. Listings are organized to help you find care that fits your situation, whether you are looking for medical detox, residential treatment, or an outpatient program close to home. We prioritize facilities that hold recognized accreditation and current state licensing, and we surface details that matter when you are choosing where to get help.

  • Accreditation from bodies such as the Joint Commission and CARF
  • Current Nevada state licensing and LegitScript certification
  • Levels of care offered, from detox through aftercare
  • Insurance and payment options accepted, including Medicaid and self-pay
  • Specialty programs for specific populations and substances

Every family comes to this decision differently, so the listings are built to be compared on the factors that shape a real treatment choice rather than ranked by a single score.

Rehab in Las Vegas: What to Know

Las Vegas is the county seat of Clark County, the most populous county in Nevada, and anchors the Las Vegas-Henderson-Paradise metro area. The city is home to roughly 678,900 residents, while Clark County as a whole passed 2.42 million people in 2024 and accounts for about 73% of the state’s population (USAFacts, 2024; UNLV Center for Business and Economic Research, 2025). Our directory lists 63 rehab facilities in the Las Vegas area, spanning the full range of addiction treatment options from supervised detox to long-term outpatient care.

Public and behavioral health in the area is coordinated largely through the Southern Nevada Health District, which serves Las Vegas along with Henderson, North Las Vegas, Boulder City, and Mesquite.

Care is delivered across a mix of public and private systems, including University Medical Center, the region’s public safety-net hospital, the Valley Health System, and the faith-based Dignity Health-St. Rose Dominican network. Community providers such as WestCare Nevada round out the landscape with detox, medication-assisted treatment, and residential services for people who are uninsured or on Medicaid.

Overdose has hit Clark County hard in recent years. The Southern Nevada Health District recorded 692 drug overdose deaths among county residents in 2023, with opioids involved in about 68% of them, and reported that overdose fatalities climbed 112% between 2018 and 2024 (Southern Nevada Health District, 2024; Las Vegas Sun, 2025). Fentanyl and methamphetamine are the two substances driving those numbers, and polysubstance use involving both has grown quickly. If opioids are part of your family’s situation, our guide to opioid use disorder explains what treatment involves.

There is money behind the response. Nevada is receiving roughly $1.2 billion in national opioid settlement funds, and Clark County is set to receive the largest county share in the state to expand treatment, prevention, and recovery services (Las Vegas Review-Journal, 2025). For families weighing options beyond the immediate metro, the full Nevada rehab directory lists facilities statewide.

Cost of Rehab in Las Vegas

Cost is one of the first questions most people ask, and the honest answer is that it varies widely depending on the level of care, the program length, and the amenities involved. Published cost data specific to Las Vegas is limited, so the figures below reflect broader Nevada and regional averages compiled from national treatment-cost research. Treat them as general ranges rather than quotes for any single facility.

$155,00

Medical detox is typically billed by the day, with most programs in this range depending on the substance and level of medical supervision (national and regional averages, 2025).

$55,600

Residential rehab in Nevada averages around this figure for a 13-week program.

Outpatient rehab in Nevada averages $9,200 per episode.

$8,000 to $18,000/yr

Medication-assisted treatment, such as methadone or buprenorphine, is generally billed annually and falls in this range.

Because Las Vegas has a higher cost of living than much of Nevada, local prices tend to sit at or above these state averages, particularly for residential care with private rooms or added amenities. The good news is that very few people pay the full sticker price out of pocket. Insurance, Medicaid, sliding-scale fees, and settlement-funded programs all bring the real cost down, and verifying your rehab benefits before admission is the single best way to know what you will actually owe.

Treatment setting inpatient costs more than outpatient
Program length 30, 60, or 90 days
Features and amenities standard or upscale facility
Insurance coverage and network status
Level of medical care needed during detox
Whether care addresses a co-occurring mental health condition
How to Pay for Rehab in Las Vegas

Across the 63 rehab facilities listed in Las Vegas, most accept more than one form of payment, which gives families room to piece together coverage that works. Self-pay is the most widely accepted option, but a strong majority of centers also take private insurance and Nevada Medicaid, and many offer sliding-scale fees or financial assistance for people who need it.

Which path makes sense depends on your coverage and your circumstances. Here is how the main options work in Las Vegas.

Medicare

Thirteen Las Vegas facilities accept Medicare, which covers addiction treatment for adults 65 and older and for some younger people with qualifying disabilities. Coverage generally includes inpatient care, outpatient services, and medically necessary detox, though specific benefits and copays depend on your plan. Reviewing your drug addiction treatment options ahead of time helps you match a program to what your plan will cover.

Medicaid

Twenty-six Las Vegas facilities accept Nevada Medicaid, which covers substance use disorder treatment for eligible low-income residents. Nevada Medicaid delivers behavioral health benefits through managed care organizations, including Anthem, Health Plan of Nevada, Molina Healthcare, SilverSummit HealthPlan, and CareSource, and its coverage includes medication-assisted treatment such as methadone and buprenorphine. You can apply through the Nevada Health Authority, and community providers like WestCare have on-site enrollment help for people who are not yet covered.

Military Benefits

Ten facilities in the area accept TRICARE, the health program for active-duty service members, veterans, and their families. Veterans can also receive substance use treatment directly through the VA Southern Nevada Healthcare System, and additional support is available through veterans and military resources on our site.

Insurance and Private Pay

Forty-two Las Vegas centers accept private health insurance from major carriers operating in Nevada, including UnitedHealthcare, Health Plan of Nevada, Anthem Blue Cross Blue Shield, Hometown Health, and Sierra Health and Life. Under federal parity law, most plans must cover addiction treatment on terms comparable to other medical care. Fifty-five facilities also accept self-payment, which can sometimes secure a discount when paid in full.

  • Anthem Blue Cross Blue Shield
  • Health Plan of Nevada
  • Hometown Health
  • Sierra Health and Life
  • UnitedHealthcare

Other Low-Cost Options

For families without robust coverage, 15 facilities offer sliding-scale fees that adjust to income and 18 offer some form of financial assistance. Nevada’s opioid settlement funds are also expanding access to subsidized care across Clark County. If cost is the main barrier, it is worth asking each center directly what assistance they can extend.

Free Treatment Programs

Six Las Vegas facilities offer free treatment, and additional no-cost recovery options exist through nonprofit and faith-based providers. People who cannot afford care may also qualify for help through rehab scholarships or state-funded programs. Free options often have waitlists, so it helps to apply to more than one.

Levels of Care Available in Las Vegas

Las Vegas offers the full continuum of addiction care, with 35 facilities providing medical detox, 42 offering inpatient rehab, and 45 running outpatient programs. That range means most people can find the intensity of support that matches where they are in recovery.

Medical detox is where many people begin, safely managing withdrawal under clinical supervision before further treatment. Because fentanyl and methamphetamine drive so much of the local overdose burden, supervised withdrawal matters here. Learn what to expect from supervised detox.

Inpatient rehab provides 24-hour residential care, typically for 30 to 90 days, and suits people who need to step away from their environment to focus fully on recovery. Our guide to residential treatment covers how these programs are structured.

Partial hospitalization programs offer intensive daytime treatment while allowing people to return home at night, bridging the gap between residential and outpatient care. See how PHP treatment works.

Outpatient and intensive outpatient programs allow people to keep working or caring for family while receiving structured treatment on a set schedule. This is the most widely available level of care in Las Vegas. Read more about intensive outpatient programs.

Dual diagnosis care treats addiction alongside a co-occurring mental health condition such as depression or anxiety, which is common and best addressed together. Our resource on co-occurring depression explains the integrated approach.

Sober living homes and continuing care support the transition back to daily life after a program ends, offering structure and peer accountability during early recovery.

Specialty Programs in Las Vegas

Beyond general treatment, many Las Vegas facilities tailor care to specific populations and substances. These programs recognize that recovery looks different depending on who you are and what you are facing, and matching a program to your needs can make treatment more effective.

Alcohol remains the most common focus of care in Las Vegas, with 50 facilities offering programs for alcohol use disorder. Opioid-specific treatment is widely available too, given the local fentanyl crisis. For veterans, eight programs provide care attuned to service-related trauma.

Six facilities offer LGBTQ+ friendly programs that provide LGBTQ+ affirming addiction care in a welcoming environment. Young adult programs, available at 32 facilities, address the distinct pressures facing people navigating early adulthood and young adult and college student substance use.

Free and Low-Cost Rehab Resources in Las Vegas

Cost should never be the reason someone goes without help. Las Vegas and Clark County have a network of crisis lines, harm reduction services, and low-cost or free providers for people who are uninsured, underinsured, or in immediate danger. The resources below are verified and current.

Crisis Lines

County Health Department

  • Southern Nevada Health District – Operates overdose response and prevention programs and distributes free naloxone at its pharmacy, 280 S. Decatur Blvd, Las Vegas, NV 89107. A statewide naloxone locator is available at nvopioidresponse.org.

Community and Nonprofit Providers

  • WestCare Nevada – Intake at 702-385-3330. Provides detox, medication-assisted treatment, and residential and outpatient care; accepts Medicaid and helps uninsured clients enroll. https://westcarenevada.com/
  • The Salvation Army Adult Rehabilitation Center – 702-399-2769. A free residential work-therapy recovery program with housing and meals included. https://gethelp.salvationarmyusa.org/
  • Catholic Charities of Southern Nevada – 702-387-2291. Offers social services and addiction-related support and referrals. https://www.catholiccharities.com/

Harm Reduction

  • Trac-B Exchange – 6114 W Charleston Blvd, Las Vegas, NV 89146; 702-840-6693. Free syringe services, naloxone, and fentanyl test strips with no ID required, plus harm-reduction vending machines across Clark County. https://www.harmreductioncenterlv.com/

Veterans and Military

  • VA Southern Nevada Healthcare System – North Las Vegas VA Medical Center, 6900 N. Pecos Road, North Las Vegas, NV 89086; 702-791-9000. Provides substance use treatment including medication-assisted treatment. Additional resources for veterans are available on our site.

Government and Medicaid

  • Nevada 211 – Dial 211 or text 898-211 to connect with local treatment, housing, and financial assistance resources. https://www.nevada211.org/
  • Nevada Medicaid – Apply through the Nevada Health Authority for coverage that includes substance use disorder treatment. https://www.medicaid.nv.gov/
Drug and Alcohol Use Statistics in Las Vegas

The scale of the overdose crisis in Clark County shapes the urgency behind local treatment efforts. In 2023, the Southern Nevada Health District recorded 692 drug overdose deaths among county residents, and fentanyl-involved and methamphetamine-related deaths each climbed to 448 in 2024 (Southern Nevada Health District, 2024; Las Vegas Sun, 2025). Understanding fentanyl overdose risk is central to prevention here.

692

Drug overdose deaths among Clark County residents in 2023, with opioids involved in about 68% – Southern Nevada Health District, 2024.

448

Fentanyl-involved overdose deaths in Clark County in 2024, up from 371 in 2023 – Southern Nevada Health District via Las Vegas Sun, 2025.

448

Methamphetamine-related deaths in Clark County in 2024, up from 348 in 2023 – Southern Nevada Health District via Las Vegas Sun, 2025.

The share of residents who need treatment but do not receive it remains stubbornly high, mirroring a national gap in access to care.

112%

Rise since 2018

Increase in Clark County overdose fatalities between 2018 and 2024 – Southern Nevada Health District via Las Vegas Sun, 2025.

77%

Untreated in Nevada

Of Nevadans aged 12 and older who needed substance use treatment did not receive it, annual average for 2022 to 2023 – SAMHSA National Survey on Drug Use and Health, 2025.

There are early signs of relief. The Clark County Coroner reported that drug fatalities fell to 1,228 in 2025 from 1,389 in 2024, a decline attributed to a tapering of the fentanyl epidemic, though the coroner’s all-cause toxicity counts are measured differently from the health district’s figures (Las Vegas Review-Journal, 2026). For national context on how Nevada compares, see our national substance use statistics.

Medical reviewer

Libby Pelligrini, MMS, PA-C

Libby Pellegrini, MMS, PA-C, is a professionally-trained physician assistant. She has worked in numerous emergency healthcare settings, ranging from the rural United States to large metropolitan areas. Her experience helping patients suffering from acute crises related to intoxication and substance…

Read bio

Physician Assistant & Medical Writer. Read bio

Author

Jo Harvey, MS, HDFS

Jo Harvey has over 12 years' experience in the mental health field. Her work includes the development & implementation of drug/alcohol prevention programs on the University of Nevada Reno campus and teaching addiction-related courses at the Center for the Application…

Read bio

Addiction Specialist, Speaker, Author, Coach. Read bio

Sources Sources (8)
  1. USAFacts. (2024). Clark County, Nevada population and demographics.
  2. University of Nevada, Las Vegas Center for Business and Economic Research. (2025). Southern Nevada population estimates.
  3. Southern Nevada Health District. (2024). Southern Nevada Health District launches Substance Use Dashboard.
  4. Las Vegas Sun. (2025). Nevada among few states seeing rise in overdose deaths.
  5. Las Vegas Review-Journal. (2025). Nevada received $1.2 billion in opioid settlements. Where has it gone?
  6. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. (2025). 2022-2023 National Survey on Drug Use and Health State Estimates, Nevada.
  7. National Center for Drug Abuse Statistics, via addicted.org. (2025). Cost of drug and alcohol rehab in Nevada.
  8. Nevada Division of Public and Behavioral Health. (2024). Overdose and substance use update.

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