Arch
516 West 12th Street, Sioux Falls, SD 57104
First Step Counseling
Address: 4320 South Louise Avenue, Suite 105, Sioux Falls, SD 57106 · Map
Phone: (605) 361-1505
Website: takeyourfirststep.com
About First Step Counseling
First Step Counseling Services, which is fully approved by the State Board of Addiction and Prevention Professionals and the Department of Social Services, offers a complete program aimed at long-term recovery from alcohol and drug addiction. The center delivers personalized outpatient treatment designed to help clients recognize and change the thinking patterns and behaviors associated with addiction, with services tailored to each person’s circumstances. At First Step Counseling Services, addiction is treated as a health issue rather than a personal weakness. First Step Counseling Services provides a broad selection of support, such as individual and group counseling, assistance with 12-Step programs, educational sessions, and diagnostic assessments. To strengthen progress after treatment, the center also offers aftercare services that help clients adjust as they return to everyday life. Their overall approach combines evidence-based behavioral change methods with life skills development to support sustainable recovery. First Step Counseling Services assists people working through substance use recovery while still being able to manage their regular responsibilities. The center offers individualized counseling along with intervention and educational programs through experienced counselors. Clients may continue working, remain in their homes with their families, and follow their typical routines as they move forward in treatment.
Services reported to SAMHSA
- Levels of care
- Intensive outpatient treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Does not use MAT for opioid use disorders
- Treatment approaches
- Anger management · Brief intervention · Relapse prevention · Substance use disorder counseling · 12-step facilitation
- Education and counseling
- Substance use disorder education · Individual counseling · Group counseling
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Medicaid · Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency
- Ownership
- Private for-profit organization
- Transitional services
- Aftercare/continuing care · Discharge Planning
- Other services
- Case management service
Facility-provided information
- Care offered
- Outpatient
- Substances treated
- Benzodiazepines · Cocaine · Drug Addiction · Ecstasy · Heroin · Methamphetamine · Opioids · Prescription Drugs · Synthetic Drugs
- Therapies
- 1-on-1 Counseling · Group Therapy · Life Skills · Psychoeducation · Relapse Prevention Counseling · Twelve Step Facilitation
- Approaches
- Evidence-Based · Individual Treatment · Strengths-Based · Twelve Step
- Who it serves
- Men · Men and Women · Women
- Aftercare
- Continuing Care · Discharge Planning · Family Follow-up Counseling · Follow-up Sessions (in-person)
- Languages
- English
Before you call
- Have your insurance or Medicaid card ready and ask whether the facility is in network.
- Ask how soon they can do an assessment and whether there is a waitlist.
- Confirm the facility is licensed by South Dakota.
- If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Other treatment facilities in Sioux Falls
Arch Residential Treatment Center
516 West 12th Street, Sioux Falls, SD 57104
Aspirations Sober Living Homes
2601 South Minnesota Avenue, Sioux Falls, SD 57105
Avera Addiction Care Center
6140 South Curae Lane, Sioux Falls, SD 57108
Avera McKennan Behavioral Health Ctr
4400 West 69th Street, Sioux Falls, SD 57108
Avera McKennan Hospital (BHS)
Avera Professional Plaza, Sioux Falls, SD 57105
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.