Compare 59 addiction treatment centers in and around Nashville, 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 Tennessee for yourself or someone you love.
Discovery Place is a nonprofit residential rehab center in Burns, Tennessee, and guests work the 12 steps one-on-one and in small groups. Men with alcohol or drug addiction are the only people admitted. The staff are men in recovery who've…
Knoxville Recovery Center provides substance abuse treatment in Knoxville, Tennessee. The city is conveniently located about 20 minutes from downtown. Some of the treatments you can get at this location include medical detox, supportive housing, and wellness and recovery services.…
Cumberland Heights Jackson provides substance abuse and co-occurring mental health treatment for adults 18 and older in Jackson, Tennessee. Their outpatient program allows the flexibility to continue with daily obligations and not put life on hold while getting treatment. Recovery…
4918 William Arnold Road · Memphis, TN 38117Memphis, TN 38117
Memphis · Outpatient
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Outpatient
Private insurance
PAX Memphis Recovery Center, located in Memphis, Tennessee, is an accredited center that supports individuals who deal with substance use dependency. This center offers personalized outpatient programs to support you at each stage of recovery. Their care teams use evidence…
Cornerstone of Recovery in Louisville, Tennessee, isn’t just another rehab center. It’s like a beautiful retreat tucked just outside Knoxville. They’ve been helping people break free from addiction since 1989, and in all of that time they’ve spent helping people…
The Ranch Tennessee in Nunnelly is an inpatient facility nestled in the Tennessee woodlands and rolling hills. They accept most major PPO plans. They treat mental health disorders, substance use disorders, trauma and other behavioral health disorders. Advanced Inpatient Treatments…
900 Buffalo Street · Johnson City, TN 37604Johnson City, TN 37604
Johnson City · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Medicaid
Private insurance
Frontier Health Willow Ridge is a women-only residential addiction treatment program located in Johnson City, Tennessee. Women over 18 who have substance use disorder and co-occurring mental health issues can receive treatment using a multidisciplinary approach. Many referrals to this…
1330 Neal Street Suite D · Cookeville, TN 38501Cookeville, TN 38501
Cookeville · Detox, Outpatient
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Detox
Outpatient
Private insurance
Providing a safe, supportive and compassionate atmosphere for recovery is at the core of Bradford Health Outpatient Services in Cookeville, Tennessee. The facility offers many different outpatient programs that allow you the flexibility of treatment options while still being able…
Tennessee Valley Recovery Center is an addiction treatment facility that provides substance use and mental health treatment. The Knoxville, Tennessee, location offers outpatient levels of care such as the partial hospitalization program and the intensive outpatient program. Holistic Care Through…
3507 Charlotte Ave · Nashville, TN 37209Nashville, TN 37209
Nashville · Detox, Inpatient, Outpatient
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Detox
Inpatient
Outpatient
Private insurance
Southeast Addiction Center provides substance use and mental health treatment in Nashville, Tennessee. Their customized protocols help guests overcome addiction and regain control of their lives. Sober Living Assistance The center understands it can be hard to navigate a sober…
Brentwood Springs Detox is a medical detox center based in Nashville, Tennessee. Their comforting facility has a home-like feel that puts you at ease while you go through the detoxification process. They have medical detox programs, which use medication to…
Located in Burns, Tennessee, is the Mirror Lake Recovery addiction treatment facility. This center supports adults who are struggling with drug and alcohol use. They also address a number of complex disorders, including dependencies on opioids, benzos, club drugs, stimulants,…
Cumberland Heights River Road Pike location in Nashville, Tennessee, is the organization’s main campus addiction treatment center. You’ll find it near the famous Cumberland River. This accredited drug rehab facility provides support to adults aged 18 and older. TRICARE is accepted along with various other commercial insurance providers. A Detox Center in Nashville Perhaps you’ll begin your recovery journey here…
Brentwood Springs Detox is a medical detox center based in Nashville, Tennessee. Their comforting facility has a home-like feel that puts you at ease while you go through the detoxification process. They have medical detox programs, which use medication to manage withdrawal, and a holistic detox program which does not use medication and relies on alternative therapies. They also offer…
Nashville Addiction Recovery operates out of Nashville, Tennessee. This is a concierge detox and drug treatment program that provides personalized, independent, and high quality treatment services that will meet you where you're at. You’ll be connected to a physician specializing in addiction recovery and allows you to detox in the comfort of your home, a luxury hotel, or other exclusive…
Southeast Addiction Center provides substance use and mental health treatment in Nashville, Tennessee. Their customized protocols help guests overcome addiction and regain control of their lives. Sober Living Assistance The center understands it can be hard to navigate a sober lifestyle in a city where so much activity is present. They have supportive sober homes in Nashville, where you have…
Connections Wellness Group is a mental health and substance use outpatient treatment provider in Nashville, Tennessee, offering intensive programming for adults seeking recovery and emotional wellness. The center provides intensive outpatient program and partial hospitalization program services, along with psychiatric evaluation and medication management, available in person and virtually. Grounded in acceptance and commitment therapy, the program emphasizes accelerated, evidence…
Integrative Life Center is a Nashville based behavioral health and addiction treatment provider offering residential and outpatient care for adults in Tennessee. With a holistic and trauma informed philosophy Integrative Life Center is designed to address the root causes of struggles rather than symptoms alone. The center treats substance use and PTSD as well as dual diagnosis and intimacy disorders…
Mending Hearts is a women's addiction treatment center in Nashville, Tennessee offering a long term continuum of care for women living with substance use disorders, co-occurring mental health conditions and trauma. This nonprofit program provides medically monitored detox and medication assisted treatment, residential care and recovery housing, partial hospitalization and intensive outpatient services. Mending Hearts is rooted in a trauma…
Samaritan Recovery Community is a nonprofit addiction treatment center in Nashville, Tennessee offering comprehensive substance use treatment for adults with co-occurring mental health conditions. The program provides a full continuum of care including residential treatment and outpatient services, community housing and aftercare. Guided by dignity and inclusivity, Samaritan Recovery delivers compassionate care regardless of background or circumstance. Recovery Focused Treatment…
The Next Door Recovery is a Nashville based addiction treatment program offering gender specific care for women facing substance use and co-occurring mental health disorders. Services span medically monitored detox and 28 day residential treatment and IOP, virtual IOP and MAT supported outpatient care, with an integrated approach combining evidence based therapies, 12 step recovery and faith. Since 2004, the…
Nashville Addiction Clinic is a fully virtual drug and alcohol rehab in Nashville, Tennessee, providing telemedicine outpatient treatment for opioid use disorder across the state. The clinic offers medication assisted treatment (TeleMAT), outpatient detox, counseling and recovery support delivered entirely online. As Tennessee's first licensed Virtual OBOT provider, the Joint Commission accredited clinic combines evidence-based care with lived experience, since…
1500 21st Avenue South Suite 2200, Nashville, TN 37212
Inpatient
Outpatient
Medicaid
Private insurance
Vanderbilt Child and Adolescent Psychiatry is a rehab located in Nashville, Tennessee. Vanderbilt Child and Adolescent Psychiatry specializes in the treatment of addiction.
Bradford Health Services Nashville is an outpatient addiction treatment center in Nashville, Tennessee providing flexible drug and alcohol rehab services for adults and adolescents. The office offers intensive outpatient programming, medication assisted treatment and therapy, family support and continuing care. The program follows an evidence based approach designed to support people starting recovery or stepping down from residential treatment. Medication…
JourneyPure Nashville Outpatient and Suboxone Clinic is an addiction treatment center in Nashville, Tennessee that provides medication and dual diagnosis care for adults. The clinic offers an intensive outpatient program with therapy, CBT and motivational interviewing, accountability coaching and relapse prevention planning. They offer a combination of Suboxone based treatment and co occurring mental health carein a single outpatient setting…
1005 Doctor DB Todd Junior Boulevard Suite 2021A, Nashville, TN 37208
Detox
Inpatient
Outpatient
Medicaid
Private insurance
Lloyd C. Elam Mental Health Center is a behavioral health facility affiliated with Meharry Medical College. The center serves adults and adolescents in Nashville, Tennessee. The team specializes in dual-diagnosis care for people navigating substance use disorders alongside co-occurring mental health conditions, with programming for men, women, young adults, veterans, LGBTQ+ clients and more. Rooted in an academic medical tradition,…
Solutions Retreat is a fully licensed residential addiction and mental health treatment center in Nashville, Tennessee serving adult men including veterans, struggling with alcohol and drug addiction. The program offers therapy, EMDR and psychodrama, motivational interviewing and cognitive behavioral therapy to address co-occurring mental health conditions. With a small capacity residential setting and a signature "Experience-Recovery" model, Solutions Retreat focuses…
Tree House Recovery TN is a Joint Commission accredited addiction treatment center in Nashville, Tennessee, offering holistic evidence based care for men and women with substance use disorders and cooccurring mental health issues. The program specializes in treating young adults, veterans, first responders, professionals and musicians through intensive outpatient programming. Tree House takes a distinctive "mind-body-social" approach, integrating clinical therapy,…
446 Metroplex Drive Suite A-200, Nashville, TN 37211
Detox
Inpatient
Outpatient
Medicaid
Private insurance
A clinic in Nashville, Tennessee just off Interstate 24 on Metroplex Drive, AppleGate Recovery, is an addiction treatment center in Nashville for adults with opioid addiction. Transit Access and Saturday Hours Public transit reaches the clinic so you can easily get there from Nashville or from Davidson County and the communities around it. AppleGate offers care during weekday hours and…
Centerstone Nashville - Dede Wallace Campus treats substance abuse and mental health conditions in Nashville, Tennessee. They use evidence based practices to uncover the root cause of addiction and help you achieve a sober lifestyle. They have outpatient services available at this location and may refer guests for higher intensity care at another location if needed. You’ll attend counseling sessions,…
Centerstone Nashville Frank Luton Center is an outpatient addiction treatment provider in Nashville, Tennessee offering substance use and co-occurring mental health services as part of a large nonprofit behavioral health network. This site provides addiction recovery and outpatient counseling, psychiatric and medical services, crisis care and family services. Centerstone emphasizes an integrated, evidence based approach that connects addiction treatment with…
Nashville Recovery, located in Nashville, Tennessee, is an alcohol and drug rehab program that offers addiction treatment to men and women. They offer outpatient medication-assisted treatment for opioid use disorder. Clients are given an assessment to ensure this style of treatment is suitable for them. Once treatment begins, clients also participate in mental health therapy through individual and group counseling.
Cumberland Heights Outpatient Downtown is a rehab located in Nashville, Tennessee. Cumberland Heights Outpatient Downtown specializes in the treatment of addiction.
“He called his clothing drive “Hoodies for the Homeless,” and he plans to do it again in 2023.”
Tennessee isn’t called the Volunteer State for no reason. We believe in giving back, and I read a news article about a young man named Justin Biggs who embodied that spirit. Justin was someone who had struggled with opioid and meth addiction for the better part of a decade; he had also been homeless for nine years. But once he was able to enter a treatment program, he chased recovery with the same intensity he used to chase his drugs of choice. Last year, while living in a halfway house and working a full-time job, Justin realized it was time to pay it forward. He began collecting clothes for the homeless in August: gloves, coats, hoodies, sweatshirts and pants, thermals and any other items of clothing people were willing to donate. In October, when the East Tennessee weather began to turn cold, Justin went back to his old stomping grounds - the same streets he lived on during his own active addiction. In places that once held only bad memories, Justin was able to make a positive impact on the homeless population by handing out all the donated clothing items, which would help to keep people warm during the coming winter months.
Frequently asked questions
What to know about rehab in Nashville
How We Rank Listings
Our directory is built to help you compare treatment providers in Nashville on the details that matter, not on who pays the most for placement. Listings are organized around verifiable facility information: the levels of care a program offers, the accreditations it holds, the populations it serves and the payment options it accepts.
When we evaluate and order the programs shown on this page, we prioritize a few core criteria:
Accreditation and licensing. Programs accredited by the Joint Commission or CARF, and those licensed by the state of Tennessee, reflect an independent review of safety and quality.
Level-of-care match. We surface facilities that offer the specific intensity of treatment you are searching for, from medical detox through outpatient counseling.
Payment transparency. Programs that clearly accept insurance, TennCare or sliding-scale and financial-assistance arrangements are highlighted so you can filter by what you can realistically afford.
Specialized services. Dual diagnosis capability and programming for specific populations help match people to care built for their situation.
Advertising relationships never determine clinical quality, and we work to keep facility information accurate and current.
Rehab in Nashville: What to Know
Nashville is the capital of Tennessee and shares a consolidated government with the surrounding county as the Metropolitan Government of Nashville and Davidson County, so the city and Davidson County are effectively the same jurisdiction for public-health and treatment purposes. Roughly 700,000 people live within Metro Nashville, part of a wider Middle Tennessee metro of close to two million. The area is also one of the country's major healthcare hubs, which is part of why rehab centers across Tennessee cluster heavily here. Our directory currently lists 58 treatment facilities serving Nashville and Davidson County, spanning medical detox, residential care and every level of outpatient treatment.
The public system is anchored by the Metro Public Health Department, which runs free behavioral health screenings and counseling, and by the Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS), which funds the state's publicly supported treatment network. Mental Health Cooperative operates the designated 24/7 crisis response for Davidson County and large health systems including Vanderbilt University Medical Center, TriStar Centennial (home to the Parthenon Pavilion behavioral health unit), Ascension Saint Thomas, Nashville General Hospital and the Nashville VA give the region a deep bench of hospital-based stabilization and dual diagnosis capacity. That breadth of addiction treatment options means most Nashville residents can find appropriate care locally rather than traveling out of the area.
One notable local initiative is the Community Overdose Response Team (CORT), a free and confidential Metro service that helps people at risk of overdose find the appropriate level of care regardless of insurance status. Nashville also participates in Tennessee's statewide TN Together opioid-response strategy, which combines prescribing limits, a standing naloxone order and expanded medication access.
Nashville's substance use picture is defined by the same synthetic-opioid crisis affecting the rest of the region. Davidson County recorded 513 suspected overdose deaths in 2024, and fentanyl's overdose risk dominates the local data, with the synthetic opioid detected in roughly 70 percent of 2024 overdose deaths. Cocaine and methamphetamine frequently appear alongside it and the local medical examiner has flagged sharp increases in xylazine detections, underscoring how much of the local supply is now a polysubstance mix.
Consolidated Metro Nashville and Davidson County government city and county share one jurisdiction
Major healthcare hub with Vanderbilt, TriStar Centennial, Ascension Saint Thomas, Nashville General, and the Nashville VA
Community Overdose Response Team (CORT) free treatment navigation regardless of insurance
Fentanyl detected in roughly 70% of 2024 Davidson County overdose deaths
Cost of Rehab in Nashville
Treatment costs in Nashville track statewide Tennessee averages, which rank the state around the middle of the country for affordability. Actual out-of-pocket cost depends far more on your insurance, level of care and length of stay than on the specific facility, so the figures below are best used as planning anchors rather than quotes. Verifying your benefits before admission is the single most important step in understanding what you will actually pay, and most programs will check your insurance coverage at no cost.
$250-$800
Medical detox in Tennessee typically runs per day, with a full stay often totaling $1,250 to $5,600 before insurance. Source: Addiction Resource, 2026.
$56,600
Average cost of a residential rehab program in Tennessee, per person. Source: Addiction Resource, 2026.
$1,698
Average cost of an outpatient rehab program in Tennessee, per person. Source: Addiction Resource, 2026.
$3,000-$10,000
Typical total cost range for an intensive outpatient program (IOP) in Tennessee. Source: Addiction Resource, 2026.
Because Nashville sits in a higher-cost metro area than much of the state, private residential and luxury programs here can run at or above these statewide averages, while community-based and nonprofit programs can cost substantially less or nothing for those who qualify. Where a longer, more structured stay is clinically indicated, the gap between residential care and lower-intensity outpatient care is the biggest single driver of total cost. Understanding how to use insurance for rehab is the most reliable way to bring those numbers down.
Treatment setting inpatient, residential, or outpatient
Program length 30, 60, or 90 days
Whether medical detox is required
Presence of a co-occurring mental health condition requiring integrated care
Insurance plan and in-network status
Eligibility for sliding-scale fees or financial assistance
How to Pay for Rehab in Nashville
Across the 58 facilities serving Nashville and Davidson County, payment options are broad. Most programs accept self-payment and private insurance, a meaningful share accept TennCare (Tennessee's Medicaid program) and Medicare, and a number offer sliding-scale fees, financial assistance or free care for those who qualify. The counts below reflect how many local programs accept each payment type.
55 accept self-payment or cash
47 accept private health insurance
15 accept TennCare (Tennessee Medicaid)
12 accept Medicare
9 offer sliding-scale fees
15 offer financial assistance
12 accept TRICARE
3 offer free treatment
Which of these applies to you depends on your coverage and eligibility. The sections below break down the most common ways Nashville residents pay for treatment.
Medicare
Twelve Nashville-area programs accept Medicare, which covers medically necessary addiction treatment for people 65 and older and for some younger adults with qualifying disabilities. Medicare Part A helps with inpatient rehabilitation while Part B covers outpatient services and counseling, though deductibles, coinsurance and day limits apply. Because coverage rules and prior-authorization requirements can be detailed, it is worth confirming exactly how Medicare covers addiction treatment with any program before you enroll.
Medicaid (TennCare)
TennCare is Tennessee's Medicaid program, and 15 Nashville-area facilities in our directory accept it. TennCare covers substance use disorder services including assessment, medical detox, residential treatment (with some limits), outpatient counseling and medication-assisted treatment. It operates through managed care organizations, primarily BlueCare Tennessee, UnitedHealthcare Community Plan and Wellpoint/Amerigroup, so it is important to confirm a facility is in-network with the specific plan on your card. TennCare covers all three FDA-approved medications used in medication-assisted treatment for opioid and alcohol use disorders and its BESMART program lets many members start buprenorphine on day one without waiting for prior authorization.
Military Benefits
Twelve local programs accept TRICARE, the health program for active-duty service members, retirees and their families. Nashville is also served by the Nashville VA Medical Center, which provides substance use and mental health care to enrolled veterans. Veterans and military families can find additional Nashville-specific support through our guide to rehab resources for veterans and military.
Insurance and Private Pay
Private insurance is accepted at 47 Nashville programs, and 55 accept self-payment. Under federal parity rules, most commercial plans must cover substance use treatment at a level comparable to other medical care, though the specifics of copays, deductibles and network requirements vary widely. Confirming benefits and in-network status before admission remains the best way to avoid surprise costs.
Other Low-Cost Options
Nine Nashville programs offer sliding-scale fees and 15 offer some form of financial assistance, which can bring treatment within reach for people who are uninsured or underinsured. Sliding-scale pricing adjusts the fee based on income and household size.
Free Treatment Programs
Three programs in the directory offer fully free treatment, and Nashville has additional grant-funded and faith-based options outside standard listings, described in the free and low-cost resources section below. People who cannot afford care may also qualify for state-funded treatment through TDMHSAS, and rehab scholarships are another route to reduced-cost care.
Major insurance carriers commonly accepted at Nashville facilities include:
Aetna
Amerigroup / Wellpoint
BlueCross BlueShield of Tennessee
BlueCare Tennessee
Cigna
Humana
TRICARE
UnitedHealthcare
Levels of Care Available in Nashville
Nashville offers the full continuum of addiction treatment. Our directory lists 35 programs with medical detox, 38 offering inpatient or residential care and 51 providing outpatient services, alongside partial hospitalization, intensive outpatient, dual diagnosis and sober living options. The right starting point depends on the severity of the substance use, whether withdrawal requires medical supervision and any co-occurring conditions.
35 medical detox facilities
38 inpatient rehab programs
7 partial hospitalization programs
1 intensive outpatient program
51 standard outpatient clinics
35 dual diagnosis programs
14 sober living homes
Medical detox is often the first step for people physically dependent on alcohol, opioids or benzodiazepines. Supervised medical detox manages withdrawal safely under clinical monitoring and is available at 35 Nashville facilities, including hospital-based units.
Inpatient and residential rehab provides 24-hour structured care in a live-in setting, which suits more severe substance use or unstable home environments. Nashville has 38 programs offering residential treatment, from short-term stays to longer therapeutic communities.
Partial hospitalization (PHP) delivers intensive daytime treatment while allowing people to return home in the evening, a middle step between residential and outpatient care available at 7 local programs offering PHP treatment.
Outpatient and intensive outpatient programs let people receive treatment while maintaining work and family responsibilities. With 51 standard outpatient clinics locally, outpatient and intensive outpatient programs are the most widely used level of care in Tennessee.
Dual diagnosis care treats a substance use disorder alongside a co-occurring mental health condition such as depression or an anxiety disorder. Because roughly half of people with a substance use disorder also experience a mental health condition, the 35 Nashville programs equipped for integrated care matter and Nashville's hospital behavioral health units add capacity for treating co-occurring depression.
Sober living homes offer a structured, substance-free environment for people transitioning out of formal treatment. Nashville has 14 such homes, an important bridge into rehab aftercare and long-term recovery support.
Specialty Programs in Nashville
Many Nashville facilities tailor treatment to specific populations and substances. The programming below reflects how local providers organize care around the distinct needs of different groups, from gender-specific tracks to substance-focused treatment.
36 men's programs
34 women's programs
36 young adult programs
14 programs for older adults
49 alcohol rehab programs
31 opioid rehab programs
7 LGBTQ+ friendly programs
6 veterans & military programs
With 49 programs offering dedicated alcohol treatment, Nashville has substantial capacity for alcohol use disorder, which affects an estimated 7.2 percent of Tennessee adults. The 31 opioid-focused programs address the fentanyl-driven crisis that dominates local overdose data, providing medication-assisted treatment and counseling for opioid use disorder. Seven programs specifically welcome LGBTQ+ clients with LGBTQ+ affirming addiction care, and six offer programming built around the experiences of veterans and service members. Gender-specific and age-specific tracks round out the local options, with strong availability of both men's and women's programs and dedicated services for young adults and older adults.
Free and Low-Cost Rehab Resources in Nashville
Nashville has a substantial network of free and low-cost help, from 24/7 crisis lines to grant-funded residential programs and harm reduction services. If you are in immediate danger, call 911. For urgent emotional or substance use crises, the resources below can connect you to crisis support and treatment navigation at no cost.
Crisis and Referral Lines
988 Suicide and Crisis Lifeline. Call or text 988, available 24/7 for mental health and substance use crises.
Tennessee Statewide Crisis Line. 855-274-7471 (1-855-CRISIS-1). Free, confidential, 24/7 crisis counseling and connection to local mobile crisis teams.
Tennessee REDLINE. 800-889-9789. Statewide 24/7 alcohol, drug and gambling treatment referral line; callers receive at least three referral sources when possible.
Community Overdose Response Team (CORT). 615-687-1701. Free, confidential Metro service that helps people at risk of overdose find detox, residential or outpatient care regardless of insurance status.
SAMHSA National Helpline. 1-800-662-HELP (4357). Free, confidential, 24/7 treatment referral and information service.
County Health Department
Metro Public Health Department, Behavioral Health Services. 615-340-2172. Free mental health counseling and substance use screenings by appointment at the Lentz, East and Woodbine public health centers; no insurance required, sessions available in English and Spanish. Nashville.gov
Community and Nonprofit Programs
Samaritan Recovery Community. 319 South 4th Street, Nashville, TN 37206. 615-244-4802. A nonprofit serving adults since 1964, offering no-cost residential, intensive outpatient and transitional living for people with substance use and co-occurring disorders; accepts TennCare. https://samctr.org/
Mending Hearts. 4305 Albion Street, Nashville, TN 37228. 615-385-1696. Accredited nonprofit providing residential and outpatient recovery services for women, including pregnant and postpartum women, with grant support and sliding-fee access. https://mendingheartsinc.org/
Renewal House. 615-255-5222. Middle Tennessee's long-term, family-centered residential program allowing mothers to live with their children during treatment. https://renewalhouse.org/
Mental Health Cooperative Crisis Treatment Center. 250 Cumberland Bend, Nashville, TN 37228. 615-726-0125. The designated 24/7 walk-in crisis center for Davidson County, offering free crisis assessment, stabilization and mobile crisis outreach; accepts all TennCare plans. https://mhc-tn.com/
Centerstone. 888-291-4357. Community behavioral health provider with multiple Nashville locations offering outpatient counseling, psychiatric care, mobile crisis response and addiction recovery services. https://centerstone.org/locations/tennessee/
Harm Reduction
Nashville CARES DART Program. 24-hour hotline 615-761-4474. Provides free sterile syringes, fentanyl test strips and naloxone (Narcan/Kloxxado) through a mobile unit serving Davidson and surrounding counties, plus linkage to treatment. https://www.nashvillecares.org/
Tennessee statewide naloxone access. Naloxone is available without a prescription at pharmacies across Tennessee under a standing order and TennCare covers the cost.
Nashville Rescue Mission Life Recovery Program. 615-255-2475. A free, long-term, Christ-centered residential recovery program for adults facing addiction and homelessness, combining counseling, recovery classes and job readiness. https://nashvillerescuemission.org/services/life-recovery-program/
Drug and Alcohol Use Statistics in Nashville
Davidson County has been among the hardest-hit areas in the country for overdose deaths, though the most recent local data shows meaningful improvement. According to the Metro Public Health Department, the county recorded 513 suspected overdose deaths in 2024, a 26 percent decline from the same period in 2023, a drop officials attribute in part to widespread naloxone distribution. Fentanyl remains the dominant driver of fentanyl overdose risk in the local drug supply.
513
Suspected drug overdose deaths in Davidson County in 2024, down 26% from 2023. Source: Metro Public Health Department, 2025.
725
Peak annual overdose deaths in Davidson County, reached in 2021 before a steady decline. Source: Metro Public Health Department, 2025.
4,524
Suspected nonfatal overdoses requiring Nashville Fire Department EMS response in 2024, a 19% reduction from 2023. Source: Metro Public Health Department, 2025.
Involve fentanyl
70%
Of Davidson County overdose deaths in 2024 involved fentanyl, the county's leading overdose driver. Source: Metro Public Health Department, 2025.
Xylazine surge
100%
Xylazine detections in Davidson County overdose deaths more than doubled from 2023 to 2024 (up roughly 124%), signaling a shift toward a polysubstance supply. Source: Metro Public Health Department, 2025.
Alcohol also drives significant harm across Tennessee: an estimated 7.2 percent of Tennessee adults have an alcohol use disorder and about 16.4 percent report binge drinking at least once a month, according to state health data compiled from the CDC and NSDUH. Statewide, Tennessee recorded roughly 2,499 overdose deaths in 2024, and the crisis has increasingly become a polysubstance one, with cocaine and methamphetamine frequently detected alongside fentanyl. For national context on how these patterns compare, see our overview of national substance use statistics.
Medical reviewer
Jillian Foglesong Stabile, MD
Jillian F, MD is a board-certified Family Physician who enjoys full scope Family Medicine including obstetrics, and women’s health, as well as caring for children and adults of all ages. She manages a number of health conditions including mental health…
A recently retired psychotherapist and freelance writer/author, Rita Milios has published forty-four books and hundreds of articles on topics of recovery, mental health, and spiritual growth. She treated mental health and addiction recovery clients in her private practice and was…
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