HometownMindFinding Help for Substance Use in North Carolina
Find mental health providers in North Carolina who can help with substance use. Substance use disorders are medical conditions, not moral failures, and they are treatable. Care ranges from outpatient counseling and medication to more intensive support, and recovery is possible at any stage.
Substance use disorders are treatable medical conditions, not moral failures. Care ranges from outpatient counseling and medication-assisted treatment to more intensive support, and recovery is possible at any stage. Find providers who treat substance use on HometownMind, or get matched for free. In an emergency, call 911 or 988.
Information current as of June 2026. General education, not medical advice.
Substance Use providers in North Carolina
Mental health providers are licensed by state, so your care needs to come from someone licensed in North Carolina. These providers practice there and treat a range of conditions, including substance use. Not sure who fits best? Get matched free for a personalized recommendation, or choose a different state.
Rebecca Hartsell, RN, MSN, LCAS
Sondra Solomon, APMHNP
Sarah Parker, PMHNP
Jane Peck, CNS
John Moranville, MD
Beverly Hicks, MD, LPC
Vincent Lombardi, MD
Larry Pittman
Boyden Melton, LCAS
Harold Lilly, LCAS
Autumn Austin, MA, LPC, CSAC
Cecelia Westmoreland, LPC, LCAS
Matthew Meier, PSYD, HSP-P, LCAS
Suzanne Kelly, LPC, LCAS, CEAP
Kathy Mansfield, LPC LCAS CCS
Tammy Bell, LCSW, MSW, MAC
John Hall, MD
Deborah Satterfield
Sharon Cahn, LPC
Michael Tompkins, LCAS
Paige Stephens, LCAS, LCMHC
Ernest Lawson, MA
Beth Hughes, LCAS
Ron Hood, LIC PSYCHOLOGIST
Find substance use providers in another state
Common signs
- Using more, or for longer, than intended
- Cravings and difficulty cutting back despite wanting to
- Use that affects work, health, or relationships
- Withdrawal symptoms or rising tolerance
How substance use is treated
Medication-assisted treatment
For some substances, prescribers can offer medications that reduce cravings and support recovery.
Counseling and therapy
Evidence-based therapies address the patterns and stressors that drive use.
Which provider treats substance use?
Choose a provider who treats substance use with a nonjudgmental, evidence-based approach. In an emergency, call 911 or 988. Psychiatrists and psychiatric nurse practitioners can prescribe and manage medication, while therapists provide talk therapy such as CBT. Many people work with both.
| Psychiatrist | Psychiatric nurse practitioner | Therapist | |
|---|---|---|---|
| Can prescribe medication | Yes | Yes | No |
| Typical training | Medical degree (MD or DO) plus a psychiatry residency | Graduate nursing degree (MSN or DNP) with psychiatric certification | Master's or doctoral degree in counseling, psychology, or social work |
| Primary focus | Diagnosis and medication management | Diagnosis and medication management | Talk therapy and counseling |
| Often best for | Complex or severe conditions and medication needs | Medication management, frequently with shorter wait times | Talk therapy, coping skills, and ongoing support |
Frequently asked questions
Is substance use disorder a disease?
Yes. Substance use disorders are recognized medical conditions, not a lack of willpower. They are treatable, and effective, evidence-based care is available.
What is medication-assisted treatment?
Medication-assisted treatment (MAT) uses FDA-approved medications, alongside counseling, to reduce cravings and support recovery for substances such as opioids and alcohol. A qualified prescriber can determine if it is right for you.
Where can I find compassionate, nonjudgmental treatment?
On HometownMind you can find providers who treat substance use with an evidence-based, nonjudgmental approach, or get matched for free. In an emergency, call 911 or 988.
Authoritative resources
- National Institute of Mental Health (NIMH) — US government health information on mental-health conditions
- SAMHSA National Helpline (1-800-662-4357) — Free, confidential, 24/7 treatment referral and information
- 988 Suicide & Crisis Lifeline — Call or text 988 in the US for free, confidential crisis support
Other conditions
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