Alcohol Treatment in Pikeville, KY

Alcohol treatment in Pikeville: 25 facilities within 30 miles offer medication for alcohol use disorder, 4 offer detox. Pike County data. Call (800) 653-9376.

Call or text. Open 24 hours, including tonight. Free and confidential. Serving Pikeville, Prestonsburg, Hazard, South Williamson.

Quick answer

Alcohol is the most used substance in America, and Pike County recorded 20 drug overdose deaths in 2025 — a rate of 38 per 100,000, above the state average. Within 30 miles of Pikeville, 25 treatment facilities offer medication for alcohol use disorder and 4 offer detox. Call or text (800) 653-9376 to start.

How dangerous is quitting drinking, and where do you start in Pikeville?

It depends on how much and how often you drink — heavy daily drinkers should not stop cold. Alcohol withdrawal can bring seizures and delirium tremens, so a medically supervised taper is the safe route. The good news for Pikeville: the SAMHSA locator lists 4 facilities offering detox within 30 miles, more than most rural Kentucky counties can claim, and 25 that offer medication for alcohol use disorder. Call or text (800) 653-9376, or submit

, to sort out which fits.

The Pike County setting

Pike County recorded 20 drug overdose deaths in 2025, an age-adjusted rate of 38.0 per 100,000 — well above the statewide rate of 24.3, per the state's 2025 fatality report. The same report found methamphetamine involved in 16 Pike County deaths, the fourth-highest county count in Kentucky.
Alcohol itself rarely headlines overdose statistics, but statewide toxicology found ethanol in 146 of Kentucky's overdose deaths in 2025, most often alongside opioids or stimulants. Mixing drinking with other sedatives is where risk compounds.
Pikeville is the region's medical hub: residents of Pike, Floyd, Martin, and Johnson counties, and neighbors across the West Virginia line, come here for care, which widens the practical treatment radius beyond the county line.

What alcohol treatment involves

Withdrawal management first, when drinking is heavy — the 4 detox facilities within 30 miles exist for exactly this step, and the nearest hospital emergency department handles acute cases
Medication: naltrexone, acamprosate, and disulfiram are FDA-approved, non-habit-forming, and effective when paired with counseling
Outpatient counseling — 31 of the 36 facilities within 30 miles offer it, in weekly to intensive schedules
Residential care — 6 facilities within 30 miles, for people whose home environment makes early recovery difficult

Mountain Comprehensive Care Center's Pike County Complex at 118 River Road in Pikeville provides outpatient mental health and substance abuse services for adults and adolescents; its regional helpline is 1-800-422-1060. Free peer support through AA and NA meets across the Big Sandy region.

How to start this week

If withdrawal symptoms are already present — shaking, sweating, confusion, or a seizure — call 911. For a crisis that is not a medical emergency, call or text 988, or Mountain Comp's line at 1-800-422-1060.
Call or text (800) 653-9376 or submit
to check detox and outpatient openings.
Search findtreatment.gov with a Pikeville ZIP code and filter for detoxification if you drink heavily every day.
Ask about Kentucky Medicaid or sliding-fee options on the first call — several regional programs serve uninsured patients.

The withdrawal risk is the part people underestimate; the treatment network is the part Pikeville has in better supply than its size suggests. Plan for the first, use the second.

Last updated: Thu Oct 22 2026 00:00:00 GMT+0000 (Coordinated Universal Time)

Frequently asked questions

Can I stop drinking on my own?

If you drink heavily every day, do not stop abruptly without medical advice. Alcohol withdrawal can cause seizures and delirium tremens, which can be fatal — the FDA-labeling guidance clinicians follow treats it as a medical condition requiring supervision. A gradual, medically managed taper is the safe route.

What alcohol treatment is available near Pikeville?

The SAMHSA FindTreatment.gov locator lists 36 substance use facilities within 30 miles of Pikeville: 25 administer or prescribe medication for alcohol use disorder, 4 offer detoxification, 6 run residential programs, and 31 offer outpatient care. Counts change, so confirm openings by phone.

What medications treat alcohol use disorder?

The FDA has approved naltrexone, acamprosate, and disulfiram. Naltrexone reduces the rewarding effect of drinking, acamprosate eases the prolonged discomfort after quitting, and disulfiram deters drinking by causing an unpleasant reaction. None is habit-forming, and they work alongside counseling.

Where is the closest detox to Pikeville?

Four facilities within 30 miles report offering detoxification services on the SAMHSA locator — a notable difference from many rural Kentucky counties, which have none. For same-day withdrawal concerns, go to the nearest hospital emergency department or call Four Rivers Behavioral Health's regional line at 1-800-422-1060.

Does Kentucky Medicaid cover alcohol treatment?

Yes, for eligible members. Kentucky Medicaid covers medically necessary substance use disorder treatment, including outpatient counseling and medication for alcohol use disorder. Confirm covered levels of care and prior authorization with your managed care plan before you commit.