Skip to content

Best Addiction Counselors in Live Oak, TX (2026)

40 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Live Oak: Windmill Wellness Ranch San Antonio Admissions Office, RP Score 76/100; 5.0★ from 12 Google reviews; open 7 days a week.

  2. 4

    Most-reviewed: Windmill Wellness Ranch, 224 Google reviews at 4.7★, the most of 40 ranked; ranked #4.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

40 Live Oak addiction counselors are ranked here by RP Score, from eight published factors. 18 open Saturdays and 13 open Sundays, based on posted hours. The median Google rating is 4.7★ across 40 rated practices.

Most of this list also appears on the Addiction counselors in San Antonio ranking. See Addiction counselors in San Antonio

Top 10 addiction counselors in Live Oak at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 addiction counselors in Live Oak at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Windmill Wellness Ranch San Antonio Admissions Office765.0★ (12)San Antonio, 10 mi awaySat · Sun · EveningsOverall
2San Antonio Recovery Center754.5★ (114)San Antonio, 18 mi awaySat · Sun · Evenings—
3Emotion Wellness745.0★ (117)San Antonio, 10 mi awaySat · Evenings—
4Windmill Wellness Ranch744.7★ (224)Canyon Lake, 27 mi awaySat · Sun · EveningsMost reviews
5Robb Kelly Recovery Group734.3★ (18)San Antonio, 10 mi awaySat · Sun—
6Positive Recovery Centers - San Marcos695.0★ (12)San Marcos, 32 mi awaySat · Sun · Evenings—
7Resurgence Texas694.4★ (9)Canyon Lake, 31 mi awaySat · Sun · Evenings—
8Rise Recovery684.7★ (58)San Antonio, 13 mi away——
9Substance Abuse Professionals of Texas655.0★ (89)San Antonio, 11 mi awaySat—
10Plum Creek Recovery Ranch654.4★ (112)Lockhart, 49 mi awaySat · Sun · Evenings—

The 40 best addiction counselors in Live Oak, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Live Oak

    #1 Windmill Wellness Ranch San Antonio Admissions Office

    Based in San Antonio, 10 mi away

    76/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 12 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 12 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    431 Isom Rd Ste 202, San Antonio, TX 78216
    View profile for Windmill Wellness Ranch San Antonio Admissions Office(830) 251-6859

  2. #2 San Antonio Recovery Center

    Based in San Antonio, 18 mi away

    75/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 114 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 114 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    5806 Culebra Rd, San Antonio, TX 78228
    View profile for San Antonio Recovery Center(210) 361-5711

  3. #3 Emotion Wellness

    Based in San Antonio, 10 mi away

    74/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 117 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 117 Google reviews
    Hours
    Mon–Sat 9 AM–9 PM · Sun closed
    Address
    431 Isom Rd Ste 204, San Antonio, TX 78216
    View profile for Emotion Wellness(210) 972-4247

  4. #4 Windmill Wellness Ranch

    Based in Canyon Lake, 27 mi away

    74/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 224 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 224 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    26229 N Cranes Mill Rd, Canyon Lake, TX 78133
    View profile for Windmill Wellness Ranch(830) 251-6859

  5. #5 Robb Kelly Recovery Group

    Based in San Antonio, 10 mi away

    73/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 18 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.3★ from 18 Google reviews
    Hours
    Mon–Sun 7 AM–5 PM
    Address
    20122 Stone Oak Pkwy Ste 104, San Antonio, TX 78258
    View profile for Robb Kelly Recovery Group(214) 600-0210

  7. #7 Resurgence Texas

    Based in Canyon Lake, 31 mi away

    69/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 9 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    10703 Ranch Rd 12, Wimberley, TX 78676
    View profile for Resurgence Texas(888) 231-2269

  8. #8 Rise Recovery

    Based in San Antonio, 13 mi away

    68/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 58 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 58 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat–Sun closed
    Address
    2803 Mossrock, San Antonio, TX 78230
    View profile for Rise Recovery(210) 227-2634

  10. #10 Plum Creek Recovery Ranch

    Based in Lockhart, 49 mi away

    65/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 112 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 112 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    519 Briar Patch Rd, Lockhart, TX 78644
    View profile for Plum Creek Recovery Ranch(512) 817-3146

  11. #11 New Day Recovery Services

    Based in San Antonio, 11 mi away

    65/100RP Score

    Ranked #11 because of its Google rating and specialty focus: 4.9★ from 68 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 68 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1931 NW Military Hwy #204, Castle Hills, TX 78213
    View profile for New Day Recovery Services(210) 801-9291

  12. #12 Ripple Ranch Recovery Center

    Based in Canyon Lake, 19 mi away

    62/100RP Score

    Ranked #12 because of its Google rating and specialty focus: 4.5★ from 189 Google reviews, listed on Google as “Mental health clinic”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 189 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    2098 Texas Oaks, Spring Branch, TX 78070
    View profile for Ripple Ranch Recovery Center(830) 333-8130

  13. #13 Kingdom Healing Institute: Suite 110, Neurology, Epilepsy, Pain,Addiction, Neurofeedback Center (Self-Pay Care)

    Based in San Antonio, 15 mi away

    61/100RP Score

    Ranked #13 because of its Google rating and specialty focus: 4.9★ from 123 Google reviews, listed on Google as “Neurologist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 123 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    7434 Louis Pasteur Dr #110, San Antonio, TX 78229
    View profile for Kingdom Healing Institute: Suite 110, Neurology, Epilepsy, Pain,Addiction, Neurofeedback Center (Self-Pay Care)(210) 942-2055

  14. #14 Align Couples Therapy

    Based in San Antonio, 11 mi away

    59/100RP Score

    Ranked #14 because of its Google rating and specialty focus: 4.4★ from 12 Google reviews, listed on Google as “Marriage or relationship counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 12 Google reviews
    Hours
    Mon–Fri 8 AM–9 PM · Sat 8 AM–6 PM · Sun 8 AM–8 PM
    Address
    16607 Blanco Rd Ste 701, San Antonio, TX 78232
    View profile for Align Couples Therapy(210) 526-2050

  15. #15 Clayton Sponhaltz, LCDC, NCAC I, SAP Substance Abuse Professionals of Texas

    Based in San Antonio, 10 mi away

    59/100RP Score

    Ranked #15 because of its Google rating and specialty focus: 5.0★ from 8 Google reviews, listed on Google as “Counselor”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 8 Google reviews
    Hours
    Mon–Thu 9 AM–5 PM · Fri–Sun closed
    Address
    18838 Stone Oak Pkwy #103, San Antonio, TX 78258
    View profile for Clayton Sponhaltz, LCDC, NCAC I, SAP Substance Abuse Professionals of Texas(210) 846-1819

  18. #18 Omar Ali, Psychiatrist

    Based in San Antonio, 10 mi away

    56/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 4.9★ from 59 Google reviews, listed on Google as “Psychiatrist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 59 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    540 Oak Centre Dr Ste 205, San Antonio, TX 78258
    View profile for Omar Ali, Psychiatrist(210) 858-9772

  20. #20 Texas Helps

    Based in San Marcos, 33 mi away

    56/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 4.4★ from 49 Google reviews, listed on Google as “Mental health clinic”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 49 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1106 I 35 N Frontage Rd, San Marcos, TX 78666
    View profile for Texas Helps(833) 965-2562

  23. #23 Ventana Mental Health

    Based in San Antonio, 14 mi away

    55/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 4.5★ from 73 Google reviews, listed on Google as “Psychiatrist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 73 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    8000 I-10 Suite 1500, San Antonio, TX 78230
    View profile for Ventana Mental Health(210) 702-2668

  25. #25 Tracey Cawthorn, Psychiatrist

    Based in San Antonio, 10 mi away

    54/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 4.7★ from 16 Google reviews, listed on Google as “Psychiatrist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 16 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    540 Oak Centre Dr Ste 205, San Antonio, TX 78258
    View profile for Tracey Cawthorn, Psychiatrist(844) 824-8775

How we ranked Live Oak addiction counselors

We scored 40 Live Oak addiction counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Live Oak data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose an addiction counselor

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure addiction counseling is a regular part of their work, and ask what approach they use and why.
  3. Ask which credential the counselor holds (for example a state addiction counselor certification, LPC or LCSW).
  4. Ask whether they work with a physician if medication for addiction treatment is part of your plan.
  5. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  6. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  7. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask an addiction counselor

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How much of your work is addiction counseling?
  • Do you offer individual sessions, groups or an intensive outpatient program?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Addiction counselors in Live Oak: frequently asked questions

Who is the best addiction counselor in Live Oak?

By RP Score, the highest-ranked addiction counselor in Live Oak, TX is Windmill Wellness Ranch San Antonio Admissions Office with an RP Score of 76/100. It has 5.0★ from 12 Google reviews. It is open 7 days a week. San Antonio Recovery Center (#2) and Emotion Wellness (#3) follow. We ranked 40 addiction counselors on eight factors, last updated November 9, 2026.

How many addiction counselors are there in Live Oak?

RankedPsychologists ranks 40 addiction counselors serving Live Oak, TX. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which addiction counselors in Live Oak work on weekends?

18 of 40 ranked addiction counselors post Saturday hours and 13 post Sunday hours. The highest-ranked open Saturdays are Windmill Wellness Ranch San Antonio Admissions Office (#1), San Antonio Recovery Center (#2) and Emotion Wellness (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Live Oak addiction counselors have?

The median Google rating among 40 rated addiction counselors in Live Oak is 4.7★, with a median of 36 reviews. Windmill Wellness Ranch has the most, 224 reviews, and ranks #4. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank addiction counselors?

Each addiction counselor gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do addiction counselors outside Live Oak count in this ranking?

Yes, if they are within 50 mi of the Live Oak city center, our service radius for addiction counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can addiction counselors pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are addiction counselors in Live Oak ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on addiction counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

What is the difference between outpatient addiction counseling and rehab?

Outpatient counseling means regular sessions while you live at home and keep working; intensive outpatient programs meet several times a week. Residential rehab and medical detox happen in a facility. Withdrawal from alcohol and some drugs can be medically dangerous, so speak to a doctor before stopping if you drink or use heavily every day.

Can I see an addiction counselor online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Live Oak

  1. November 2026: RP Scores recalculated for 40 addiction counselors serving Live Oak.

More addiction counselors and Live Oak pages