Opioid Treatment and MAT in Clarksville, TN

Opioid use disorder is treatable, and the medications that treat it are ordinary medical care — methadone, buprenorphine, and naltrexone. In Clarksville the medication network is smaller than in Nashville, so knowing what is within reach and who will answer the phone matters. Opioid withdrawal is rarely fatal on its own, but losing tolerance and then using again is what kills people. Start with a plan for medication and naloxone.

How serious the opioid problem is here

CDC's provisional county data count 45 drug overdose deaths in Montgomery County in the 12 months ending December 2025, up from 38 the year before. Statewide, CDC's provisional counts show about 2,132 overdose deaths in Tennessee in the same window, down from 2,555. Clarksville has roughly 185,700 residents in a county of about 246,000, per Census estimates.

Medication options near Clarksville

Within 30 miles of Clarksville, the SAMHSA locator lists 18 substance use facilities, including:

• 1 federally certified opioid treatment program (methadone)
• 12 facilities using or prescribing buprenorphine
• 13 using naltrexone
• 7 offering intensive outpatient care, out of 14 outpatient programs overall
• 5 with residential programs and 3 offering detoxification

According to the National Institute on Drug Abuse, methadone and buprenorphine both reduce withdrawal and cravings, while naltrexone blocks opioids from producing a high. Research is clear that people treated with methadone or buprenorphine are less likely to die of overdose than those who go without medication.

Centerstone, the area's community behavioral health provider, offers Clarksville counseling and medical services with appointments at 1-877-467-3123, plus a crisis stabilization unit at 812 Greenwood Ave.

Naloxone and harm reduction in Clarksville

Naloxone reverses an opioid overdose and cannot harm someone who is not overdosing. The Tennessee Department of Health notes that naloxone can be obtained from a pharmacy without a prescription, and that many plans including TennCare cover it at minimal cost. Ask a local pharmacy, the Montgomery County Health Department at 330 Pageant Lane, or TN REDLINE about free kits.

If someone is unresponsive, breathing slowly, or has pinpoint pupils, call 911 and give naloxone if you have it.

Crisis lines and emergencies

• Overdose — call 911 and give naloxone.
• 988 — call or text, national Suicide & Crisis Lifeline; press 0 for a counselor.
• Tennessee Statewide Crisis Line — 855-274-7471 (855-CRISIS-1), 24/7.
• Centerstone 24-hour crisis line — 615-463-6600 or 800-681-7444, the mobile crisis provider for Montgomery County.
• TN REDLINE — 1-800-889-9789, call or text, 24/7 free addiction treatment referrals.

Paying for opioid treatment

TennCare covers medically necessary medications for opioid use disorder for eligible members through BlueCare, UnitedHealthcare Community Plan, or Wellpoint; confirm the OTP or prescriber is in network and ask about prior authorization. Tennessee has not expanded Medicaid to all low-income adults, so uninsured adults should also ask about publicly funded and sliding-fee options through TN REDLINE. The SAMHSA National Helpline at 1-800-662-4357 can discuss payment.

How to start today

1. If someone is overdosing, call 911 and give naloxone. For a crisis, call or text 988.
2. Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:

Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.

3. Search findtreatment.gov from a Clarksville ZIP and filter for opioid treatment programs or buprenorphine.
4. Ask each program whether same-week medication induction is available and whether they help you get naloxone.

Opioid use disorder is a medical condition, and the medication that treats it is covered here. The first call is usually harder than the clinical start.

This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.

Frequently asked questions