Opioid rehab Tennessee
Opioid rehab Tennessee starts with knowing what is listed. The state has 325 facilities, and 50 offer opioid detox. Here is how to sort the options before you call.
- offer this detox
- 50
- overdose deaths, 12 months
- 1,092
- centers listed
- 325


If you are looking for opioid rehab Tennessee because someone you love is struggling, start with what is already listed. SAMHSA FindTreatment.gov shows 325 facilities across the state, including 52 detox programs, 51 residential programs and 304 outpatient options listed across Tennessee. Many families worry they will have to choose between a distant program and no program at all. In practice, the range of care means there is usually more than one route, whether that is medically supervised withdrawal close to home or a residential stay followed by intensive outpatient care.
When someone you love has been using fentanyl, heroin, or high doses of prescription pain medication, the first question is whether withdrawal will be safe, not whether they have enough willpower. According to MedlinePlus, opioid withdrawal may begin within 12 hours of last heroin use and within 30 hours of a last methadone dose. Symptoms are unpleasant and sometimes become serious, so a clinical assessment before stopping is the safer route. Calling the helpline costs nothing and connects you with treatment advisors who can explain levels of care and check what is available near you. The call is free, and it obligates you to nothing.
Different situations require different levels of care. For some people, outpatient counseling plus medication is enough; others do better with residential care or a stay in a hospital setting. When a program treats a substance use disorder combined with a mental health condition together, that is often called dual diagnosis care, and SAMHSA-listed programs offer these services. If it is unclear which level fits, a clinical assessment can clarify that before anyone makes a commitment. The pages below cover the state data, the treatment options, and the questions families raise most often.

Care levels and medications explained
Rehab for opioid use in Tennessee spans several levels of care, from detox with medical oversight to ongoing outpatient support, and the right match hinges on a person's health history and how stable their housing is. State listings show 52 detox facilities, 51 residential programs, 43 partial hospitalization programs, and 163 intensive outpatient programs, along with 280 telehealth options. Tennessee lists 52 detox facilities and 51 residential programs for opioid treatment, so families have nearby options to weigh. Withdrawal carries risks, and detox should be guided by clinical supervision, especially if the person also drinks heavily or takes benzodiazepines.
Medication is a core part of treatment for many people with opioid use disorder. Listings show 197 buprenorphine providers, 197 naltrexone providers, 169 providers of medications for alcohol use disorder, and 14 opioid treatment programs offering methadone. If cost is a worry, then ask each program whether it accepts Tennessee Medicaid and whether sliding-scale fees exist before you schedule. A program's answer changes what you do next, so get it in writing when you can. This site does not provide treatment or diagnosis; it helps you find licensed care.
- prescribe buprenorphine
- 197
- prescribe naltrexone
- 197
- opioid treatment programs that are certified
- 14

Opioid overdose deaths in Tennessee
Opioid overdose deaths in Tennessee reached 1,092 according to the 12 months ending May 2026 provisional CDC figures. That is down 27% from 1,491 in the prior period, and the 1,092 provisional opioid deaths in Tennessee mark a 27% decline. Those figures are provisional and can change as death investigations are finalized, so they are best read as direction rather than a final count. The decline is meaningful, but each number still represents a family in grief. Statewide, all overdose deaths fell 16%, from 2,337 to 1,961, over the same period.
For families, the data matters because it points to what works: wider access to medication, faster connection to care after an overdose, and follow-up support. If someone has already survived an overdose, then the weeks afterward are a high-risk window and a reason to arrange a clinical assessment quickly. Tennessee lists 197 buprenorphine providers and 197 naltrexone providers across the state, so medication-supported care is not limited to one corner of Tennessee.
| Drug | Past year | Prior year | Shift |
|---|---|---|---|
| Opioids and fentanyl | 1,092 | 1,491 | -27% |
| Every kind of drug overdose | 1,961 | 2,337 | -16% |
CDC provisional figures, 12 months ending May 2026. Newer months can climb as reports arrive.
Signs it may be time for opioid rehab
- An opioid taken in larger amounts than intended, or for longer than planned
- Strong cravings, or feeling unable to cut down without getting sick
- Withdrawal symptoms such as sweating, stomach cramps, or muscle aches when use stops
- Neglecting work, school, or family responsibilities because of use
- Continuing to use despite strained relationships, money problems, or a prior overdose

Questions people ask
How many opioid rehab centers are in Tennessee?
SAMHSA FindTreatment.gov lists 325 treatment facilities in Tennessee, and 50 of those offer opioid detox. The listings include 52 detox programs, 51 residential programs, and 304 outpatient options, so care runs from brief withdrawal management to continuing counseling. When the right level is not obvious, a clinical assessment can settle it before anyone commits. A call at no charge can help narrow things down by location, insurance, and the services someone needs.
Does opioid rehab in Tennessee accept Medicaid?
Tennessee Medicaid is accepted by many listed programs, but coverage differs by facility and level of care, so confirm before you go. Ask whether the program is in-network for your plan and whether detox or residential care requires prior authorization. If a program does not take Medicaid, ask about sliding-scale fees or other funding options. In many plans, the federal parity law also affects mental health and substance use coverage.
What happens during opioid detox?
Detox is the period during which opioids clear from the body, and medical supervision tends to make that stretch more manageable. According to MedlinePlus, withdrawal may start within 12 hours after the last heroin use, or within 30 hours after the last methadone dose. Symptoms can turn serious, especially when other substances are in the picture, which is why a clinician's watchful eye matters. Detox is not treatment itself. It comes first, and counseling or medication should follow.
Do I need a diagnosis to call the helpline?
No. You can call the 24/7 helpline at no charge and in confidence, and no diagnosis or promise to enter treatment is needed. The advisors on the line can walk through levels of care, check what programs appear in your area, and talk through ways to pay. This website neither diagnoses nor delivers care. When it is unclear if a person meets criteria for a substance use disorder, a clinical assessment is the right next step, and the helpline can point you toward one.
What is the current state of the drug problem in Tennessee?
Provisional data show 1,092 opioid-involved overdose deaths within the 12 months ending May 2026, down 27% from 1,491 a year earlier. All overdose deaths fell 16%, from 2,337 to 1,961, over the same period. Those figures are provisional and may be revised. The decline is encouraging, but opioid misuse still affects thousands of families across the state, and treatment access remains a central part of the response.
Are all rehabs inpatient?
No. Tennessee's listings include 304 outpatient facilities, 163 intensive outpatient programs, and 43 partial hospitalization programs, alongside 51 residential programs. Outpatient care can work for people with stable housing and strong support, while residential care may suit those who need more structure. If you are unsure which setting is appropriate, then a free call can help you understand the differences before choosing.