Expert Insights
It’s hard to believe, but there were 117 people who died from a drug overdose in Clarksville’s Montgomery County in 2021.
Of those 117, 98 had fentanyl in their systems, according to the TN Department of Mental Health and Substance Abuse Services. With no end in sight for the fentanyl crisis on our hands, the only tool we really have to combat this deadly synthetic opioid is naloxone (sold under the brand name Narcan).
It comes in both an injectable form and a nasal spray. And with so many fentanyl-related deaths, Clarksville’s Save a Life program (part of the Cheatham County Community Enhancement Coalition) is providing free naloxone nasal spray and free training on how to use the medication known as the “anti-overdose medication.”
The group also teaches people how to identify the signs of an opioid overdose, how to call for emergency help, and how to assist the victim while waiting for emergency services to arrive.
How We Rank Listings
Every facility on this page is drawn from our directory of licensed and accredited treatment providers serving Clarksville and the surrounding Montgomery County area. Listings are organized to help you compare real options by the care they provide, the people they serve, and the ways they accept payment, rather than to reward whoever paid the most.
We give weight to providers that hold recognized third-party accreditation, maintain current Tennessee licensure, and publish clear information about their services. Where a program offers medication-assisted treatment, specialized tracks, or financial assistance, we surface those details so they factor into your decision. Sponsored placements are labeled as such, and a listing’s position is not a clinical endorsement. Verify current services, availability, and insurance acceptance directly with any center before enrolling.
Rehab in Clarksville: What to Know
Clarksville is the seat of Montgomery County and Tennessee’s fifth-largest city, on the Cumberland River near the Kentucky line and adjacent to the Fort Campbell Army post. The Tennessee rehab directory lists 12 treatment providers in and around the city, with especially strong detox and inpatient capacity, covering most addiction treatment options people need close to home.
The large military community around Fort Campbell shapes local care, with veterans and service members able to use the VA alongside civilian programs. Statewide, anyone can reach treatment through the Tennessee REDLINE, a free and confidential 24/7 referral line, and TDMHSAS funds care for residents who can’t afford it.
Montgomery County has carried a heavy fentanyl burden, and while the statewide trend has begun to ease, opioid use disorder and fentanyl still drive most deaths. Local programs such as Save a Life distribute free naloxone and training, so quick access to treatment and naloxone remains essential.
Cost of Rehab in Clarksville
There is no single price for rehab in Clarksville. Cost depends on the level of care, how long treatment lasts, whether a program is public or private, and what your insurance covers. Outpatient counseling is the most affordable option, medical detox and residential care cost more because they include around-the-clock supervision, and medication-assisted treatment falls in between. Local figures track Tennessee averages, and most people pay far less than the sticker price once insurance, TennCare, or a sliding fee scale is applied.
Most people do not pay these amounts out of pocket. Tennessee did not expand Medicaid, so TennCare covers the substance use continuum for eligible members but not everyone qualifies. For those who don’t, TDMHSAS-funded treatment and the Behavioral Health Safety Net provide care based on income, TRICARE and the VA serve the military community, and treatment scholarships and financial assistance can help with private programs.
How to Pay for Rehab in Clarksville
Across the treatment centers listed for Clarksville, every program accepts self-payment and private insurance, and several also bill TennCare or Medicare. Financial assistance is available at some programs. The cards below show how many Clarksville programs in our directory accept each payment type.
Medicare
Medicare covers medically necessary addiction treatment for eligible older adults and people with qualifying disabilities, including inpatient care, outpatient services, and counseling. Coverage and copays vary by plan, so it helps to understand how Medicare and private insurance apply to rehab before you enroll.
TennCare (Medicaid)
TennCare, Tennessee’s Medicaid program, covers substance use treatment, including medication-assisted treatment, for eligible members. Because Tennessee did not expand Medicaid, eligibility is narrower than in many states. Four Clarksville programs accept it, and the Tennessee REDLINE can help you find TennCare-accepting and state-funded care.
Military Benefits
With Fort Campbell next door, the military community is central to Clarksville. Active-duty service members, retirees, and families can use TRICARE and the VA for substance use care, and more addiction resources for veterans and military families are available locally.
Insurance and Private Pay
The Affordable Care Act requires most health plans to cover substance use treatment as an essential health benefit, though your deductible and network still shape the final cost. Verifying benefits before admission tells you what a program will actually cost you.
- BlueCross BlueShield of Tennessee
- Cigna
- Aetna
- UnitedHealthcare
- Humana
Levels of Care Available in Clarksville
The centers listed for Clarksville cover most major levels of care, from medical detox and residential inpatient programs to partial hospitalization, outpatient clinics, dual diagnosis treatment, and sober living. The cards below show how many programs in each category are available locally.
Medical detox
Medical detox is the first step for people with significant physical dependence on alcohol, opioids, or other substances. Clarksville has notably strong detox capacity, using around-the-clock monitoring and medication to manage withdrawal safely before ongoing treatment begins.
Inpatient and residential rehab
Inpatient rehab provides 24-hour care in a structured residential setting, which suits people who need medical monitoring or a break from a high-risk environment early in recovery.
Partial hospitalization and outpatient
A partial hospitalization program offers intensive daytime treatment while clients return home in the evening. Outpatient care, the most common level in Clarksville, lets people live at home and keep working or caring for family while attending scheduled treatment.
Dual diagnosis care
Five local programs treat co-occurring disorders, addressing a substance use disorder and a mental health condition such as depression, anxiety, or PTSD at the same time, which tends to work better than treating either alone.
Sober living and aftercare
A local sober living home provides structured, substance-free housing for people leaving treatment, and ongoing aftercare, including counseling and peer support, helps protect recovery over the long term.
Specialty Programs in Clarksville
Beyond general treatment, several Clarksville programs tailor care to specific groups and substances. The grid below shows the number of programs offering each specialty.
Free and Low-Cost Rehab Resources in Clarksville
Cost and insurance should never stop someone in Montgomery County from getting help. Several local and statewide resources offer free or low-cost support, from 24-hour helplines to state-funded treatment and harm reduction.
Crisis and helplines
- Tennessee REDLINE. 800-889-9789, call or text, the state’s free, confidential, 24/7 referral line for addiction treatment, available whether or not you have insurance.
- 988 Suicide and Crisis Lifeline. Call or text 988 for free, confidential support 24/7. See more crisis and suicide prevention resources.
- TDMHSAS Helpline. 800-560-5767 (weekdays) for help accessing state-funded treatment and services.
- SAMHSA National Helpline. 1-800-662-HELP (4357), a free, confidential 24/7 treatment referral line.
Local treatment and recovery
- Centerstone. A regional nonprofit offering outpatient behavioral health and substance use services, including for people with limited means.
- Save a Life program. Provides free naloxone nasal spray and overdose-response training in the Clarksville area.
Government and harm reduction
- Free naloxone. Available at no cost through the Save a Life program and Tennessee’s Regional Overdose Prevention Specialists (ROPS).
- Tennessee 211. Dial 211 to connect with local health, housing, and treatment resources.
Drug and Alcohol Use Statistics in Clarksville
Clarksville is in Montgomery County, which has carried a heavy fentanyl burden in recent years. Tennessee recorded its first year-to-year decline in overdose deaths in years in 2023, though fentanyl continues to drive most deaths statewide and locally. Seeing the local picture against national substance use statistics adds context.
Resources
- Tennessee Department of Health. (2025). Tennessee Drug Overdose Deaths / CSMD Annual Report. https://www.tn.gov/health/health-program-areas/pdo/pdo/data-dashboard.html
- Tennessee Department of Mental Health and Substance Abuse Services. Tennessee REDLINE. https://www.tn.gov/behavioral-health/substance-abuse-services/prevention/tennessee-redline.html
- USAFacts / CDC. (2025). Drug overdose deaths in Tennessee. https://usafacts.org/
- Addictions.com. (2026). Alcohol and Drug Rehabs in Tennessee: cost of treatment averages. https://www.addictions.com/rehabs/tennessee/
- Substance Abuse and Mental Health Services Administration. (2026). National Helpline. https://www.samhsa.gov/find-help/national-helpline
