A Caring Alternative
1550 Hendersonville Road, Asheville, NC 28803
Pyramid Asheville
Address: 119 Tunnel Rd., # D, Asheville, NC 28805 · Map
Phone: (833) 674-1576
Website: pyramid-healthcare.com
About Pyramid Asheville
Pyramid Healthcare Asheville (previously known as October Road) provides caring, professional outpatient treatment for people dealing with substance use disorders. The center offers partial hospitalization programs (PHP), intensive outpatient programs (IOP), and medication-assisted treatment for individuals with opioid or alcohol addiction. Through these services, clients work on building a strong support system, strengthening educational and job-related skills, improving communication and family relationships, and learning how addiction develops from a scientific perspective. For those who also face mental health challenges, Pyramid provides targeted dual-diagnosis programs. While clients participate in outpatient care, they may also use gender-specific transitional living homes to reside in during treatment.
Pyramid develops individualized treatment plans based on each client’s needs. Counselors often use the Matrix Model, which combines cognitive behavioral therapy, acceptance and commitment therapy, and motivational interviewing to support progress in early recovery. The program also includes approaches designed to help clients develop inner stability and rely on their support network, rather than turning to substances.
Facility-provided information
- Care offered
- Outpatient · Co-Occurring Mental Health
- Substances treated
- Alcohol · Benzodiazepines · Chronic Relapse · Co-Occurring Disorders · Cocaine · Drug Addiction · Ecstasy · Heroin · Psychedelics
- Conditions treated
- Anger · Anxiety · Bipolar · Depression · Grief and Loss · Obsessive Compulsive Disorder (OCD) · Personality Disorders · Post Traumatic Stress Disorder · Schizophrenia
- Therapies
- 1-on-1 Counseling · Acceptance and Commitment Therapy (ACT) · Cognitive Behavioral Therapy · Family Therapy · Group Therapy · Life Skills · Medication-Assisted Treatment · Motivational Interviewing · Relapse Prevention Counseling
- Approaches
- Evidence-Based
- Who it serves
- Men · Men and Women · Women
- Amenities
- Private or Shared Rooms
- Languages
- English
Questions to ask Pyramid Asheville
- What does treatment cost without insurance, and do you offer a payment plan or sliding fee?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- Which medications do you prescribe (buprenorphine, methadone, naltrexone), and can I continue a medication I already take?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by North Carolina. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Pyramid Asheville
Pyramid Asheville did not report which payment types it accepts. If you have Medicaid, ask whether the facility accepts your North Carolina Medicaid plan or can refer you to one that does. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Distance to specialized care from Asheville
Measured from the population center of Buncombe County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Asheville, about less than a mile
- Nearest methadone clinic (OTP): Asheville, about less than a mile (13 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Asheville, about less than a mile (19 within 25 miles)
See the Buncombe County treatment map, methadone clinics near Buncombe County and Suboxone doctors near Buncombe County.
Frequently asked questions
What services does Pyramid Asheville offer?
Pyramid Asheville reports these levels of care to SAMHSA: Outpatient, MAT, Dual diagnosis. Call to confirm current services and openings.
Does Pyramid Asheville accept insurance?
Payment information was not reported. Call the facility and ask about insurance, Medicaid and self-pay rates.
Where is Pyramid Asheville located?
119 Tunnel Rd., # D, Asheville, NC 28805.
How far is the nearest medical detox from Asheville?
From the center of Buncombe County, the closest program offering medical detox is in Asheville, about less than a mile away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Asheville
Asheville Comprehensive Treatment Ctr
2 McDowell Street, Asheville, NC 28801
Asheville Detox Center
25 Choctaw St., Asheville, NC 28801
Asheville Recovery Center
9 Old Burnsville Hill Road, Asheville, NC 28804
BHG Asheville Treatment Center
18 Wedgefield Drive, Asheville, NC 28806
Beyond Addiction DWI/Counseling Agency
70 Woodfin Place, Asheville, NC 28801
See all 46 facilities in Asheville · Detox · Residential · Outpatient · Intensive outpatient · MAT · Methadone
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.