Four Directions Counseling and
Also known as Recovery Center
OutpatientPrivate insuranceSelf-pay
About Four Directions Counseling and
Specialized counseling center for children, adolescents, families, and people who have experienced trauma. Provides outpatient support, trauma-informed approach, and thorough evaluations.
Services reported to SAMHSA
- Levels of care
- Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Does not treat opioid use disorders
- Treatment approaches
- Cognitive behavioral therapy · Relapse prevention · Substance use disorder counseling · Trauma-related counseling · Telemedicine/telehealth therapy
- Education and counseling
- Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling · Marital/couples counseling
- Special programs
- Young adults · Adult women · Adult men · Seniors or older adults · Veterans · Active duty military · Members of military families · Criminal justice (other than DUI/DWI)/Forensic clients · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Children/Adolescents · Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Private health insurance · Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency · State mental health department
- Ownership
- Private for-profit organization
- Transitional services
- Aftercare/continuing care · Discharge Planning · Outcome follow-up after discharge
- Other services
- Domestic violence services, including family or partner
- Language services
- Spanish
Facility-provided information
- Care offered
- Outpatient
- Substances treated
- Drug Addiction
- Conditions treated
- Trauma
- Therapies
- 1-on-1 Counseling · Cognitive Behavioral Therapy · Couples Counseling · Family Therapy · Group Therapy · Online Therapy · Relapse Prevention Counseling · Trauma-Specific Therapy
- Who it serves
- Adolescents · Children · LGBTQ+ · Men · Older Adults · Women · Young Adults
- Aftercare
- Continuing Care · Outpatient Treatment
- Languages
- English · Spanish
Questions to ask Four Directions Counseling and
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- 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 Four Directions Counseling and
Four Directions Counseling and reports accepting Private insurance, Self-pay. 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.
Frequently asked questions
What services does Four Directions Counseling and offer?
Four Directions Counseling and reports these levels of care to SAMHSA: Outpatient. Call to confirm current services and openings.
Does Four Directions Counseling and accept insurance?
It reports accepting Private insurance, Self-pay. Ask whether your specific plan is in network before admission.
Where is Four Directions Counseling and located?
9 West 3rd Street, Lexington, NC 27292.
How far is the nearest medical detox from Lexington?
From the center of Davidson County, the closest program offering medical detox is in Lexington, about 4.8 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
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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.