Texas Mental Health Centers

EHN Central Outpatient is the outpatient arm of Emergence Health Network, the designated Local Mental Health Authority and Local Intellectual and Developmental Disabilities Authority for El Paso County. Someone starting here has the authority's wider system behind them — crisis and emergency services staffed 24 hours a day on 915-779-1800 or 988, and programs at multiple sites across the county — so a change in what they need does not mean changing organization. EHN is Joint Commission accredited and a Certified Community Behavioral Health Clinic.

Metrocare Services is the largest provider of mental health services in North Texas, serving more than 55,000 people a year across Dallas County, and it has done so for over fifty years. Its substance use programs are person-centered and trauma-informed, and sit inside an unusually wide organization: mental health care for adults and children, intellectual and developmental disability services including autism, veterans and military family services, housing support, pharmacies and community social services. Metrocare is also the local IDD authority, which means its staff enroll eligible people into Medicaid programs and onto the state Medicaid waiver interest lists — a wait that can run over a decade, so getting on it early matters. Accepted coverage includes Medicaid, Aetna, Blue Cross Blue Shield, Cigna, Magellan, Scott & White, TRICARE through Humana and UnitedHealthcare, along with Medicare, military insurance and state funding.

MHMR of Tarrant County is the county's community mental health provider, and most of what distinguishes it is reachable before anyone becomes a client. Its ICARE Call Center takes calls and texts on 800-866-2465, and a Mobile Crisis Outreach Team provides face-to-face crisis response 24 hours a day to children, adolescents and adults anywhere in Tarrant County — the team comes to the person rather than the other way round. Families expecting a child or raising one under five can reach Help Me Grow North Texas on 844-689-5437 for early support.

Coastal Plains Integrated Health is a not-for-profit behavioral health center serving nine rural South Texas counties. It provides mental health services for adults and youth, intensive outpatient substance use treatment, 24/7 crisis services, and primary care integration, with all fees set on a sliding scale based on income.

Harmony Road Recovery is a full-service outpatient treatment program in El Paso, Texas, providing evidence-based, holistic care for substance use and co-occurring mental health conditions. Its programs include partial hospitalization, outpatient treatment, medication-assisted treatment, and a dedicated Native American substance abuse track, with sober living housing available. The program accepts major insurance plans, Medicare, Medicaid, and private pay.

Audie L Murphy Memorial Veterans Hosp provides residential substance use treatment in San Antonio, TX.

BasePoint Academy provides mental and behavioral health treatment for teenagers and adolescents in the Dallas–Fort Worth area. Its model is shaped by what keeps families out of treatment rather than by levels of care alone: same-day assessments by phone, scheduling built to fit around school with academic support, and a virtual option for families who cannot travel to a site several times a week.

BreakThrough by BasePoint provides a partial hospitalization program in Frisco, Texas. Part of the BasePoint Academy network, the program offers faith-based treatment tracks including Catholic and Jewish options alongside standard therapeutic approaches. The teen-focused day treatment includes individual therapy, group counseling, psychiatric care, and academic support.

Metrocare's Skillman Street clinic in north-east Dallas provides outpatient and intensive outpatient treatment for substance use alongside mental health care, including an opioid treatment program with outpatient withdrawal management — so someone starting methadone or buprenorphine can do it here. Metrocare is a fifty-year-old Dallas County organization and the largest provider of mental health services in North Texas, reaching more than 55,000 people a year, with pharmacies, housing support, veterans services and intellectual and developmental disability services around the clinical work. Its substance use programs are person-centered and trauma-informed. Accepted coverage includes Medicaid, Aetna, Blue Cross Blue Shield, Cigna, Magellan, Scott & White, TRICARE through Humana and UnitedHealthcare, along with Medicare, military insurance and state funding.

Carrus Behavioral Health is the children's and adolescent arm of Carrus Health, which has operated in Texas and Oklahoma since 2008. Its partial hospitalization and intensive outpatient programs are for ages 8 to 17, and its inpatient hospital takes children and adolescents from age 5, so a family moving between levels of care stays inside one organization. The hospital is accredited by The Joint Commission and licensed by Texas Health and Human Services.

PermiaCare provides mental health, substance use, and intellectual and developmental disability services across West Texas from its Midland location. As a Certified Community Behavioral Health Clinic, it offers substance use treatment, crisis and emergency services, veteran services, and early childhood intervention, with a 24-hour crisis hotline. The agency accepts Medicaid, Medicare, and provides a charity care program for qualifying clients.

Denton County MHMR Center is the county's mental health and intellectual and developmental disability authority, offering substance use treatment alongside adult and child mental health care as a Certified Community Behavioral Health Clinic. Around-the-clock access runs through a 24/7 crisis line (1-800-762-0157, or 988) — accredited by the American Association of Suicidology and operated in partnership with MHMR of Tarrant County — and a 24-hour psychiatric triage facility. Specialist services include COPSD for people with co-occurring psychiatric and substance use disorders, weekly groups, and vocational support. Fee schedules and the mental health rights handbook are published in Spanish as well as English. Medicaid, Medicare, private and military insurance, state funding and public assistance are accepted, with a published sliding scale.

West Texas Centers provides outpatient mental health and substance use services in Denver City, Texas, serving adults and youth across the region. The program offers individual and group therapy, psychiatric medication management, case management, and crisis intervention. West Texas Centers also provides services for individuals with intellectual and developmental disabilities. It accepts Medicaid, Medicare, TRICARE, and private insurance.

Center for Discovery's Addison site opened in May 2016 and treats eating disorders and co-occurring conditions with treatment plans customized per patient rather than run to a fixed program. Clinicians across the organization are trained in EMDR, trust-based relational intervention and motivational interviewing, and the site sits within a national network, so a patient who needs a different level of care or a different location can usually stay inside it.

Lakes Regional Community Center in Mount Pleasant, Texas, serves Northeast Texas with mental health, substance use counseling, and intellectual and developmental disability services. Formed from a state-operated program and governed by a community nonprofit board, the center provides substance use counseling and treatment for teens and adults, early childhood intervention, veterans services, and crisis support. Lakes Regional accepts Medicaid, Medicare, private insurance, military insurance, and state-financed health plans.

StarCare Specialty Health System provides outpatient substance use and mental health treatment in Lubbock, Texas. Its Medication for Opioid Use Disorder (MOUD) program and SUD Outpatient Program serve adults through individual counseling, medication management, and recovery support. StarCare also operates the Mobile Crisis Outreach Team with a 24-hour crisis line and is affiliated with Sunrise Canyon Hospital for inpatient psychiatric care. The program serves adults and youth and accepts Medicaid, Medicare, private insurance, and TRICARE.

The Nueces Center for Mental Health and Intellectual Disabilities (NCMHID) serves residents of Nueces County, Texas with mental health and intellectual/developmental disability services. In fiscal year 2026 it served 8,433 clients and delivered more than 135,000 services, including a 24/7 crisis hotline, adult and youth mental health care, and crisis intervention.

Care Star Recovery and Wellness runs outpatient mental health and addiction treatment on an integrated model, with therapy, psychiatry and medication management under one roof rather than referred out to separate providers. Its partial hospitalization, intensive outpatient and standard outpatient tracks are scheduled around work and family commitments, and the practice is in network with commercial insurers — its stated reason being to keep the cost barrier low enough that people start.

Lubbock Lighthouse is a licensed outpatient treatment program in Lubbock, Texas, offering methadone and buprenorphine (Subutex) treatment for opioid and other substance use disorders. The program creates individualized treatment plans and encourages participation in 12-Step recovery groups including AA, NA, MA, Al-Anon, and Nar-Anon. As an outpatient provider, Lubbock Lighthouse is designed to integrate treatment into patients' daily lives without disrupting work or family responsibilities.

RestorationCity is a faith-based residential discipleship training program in Hungerford, Texas, serving individuals struggling with life-controlling problems including substance use. The program accepts whole families, single parents with children, and single adult men and women, combining spiritual formation with recovery in a structured residential setting.