• Every great journey begins with a First Step!
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    Why Choose Us

    First Step Services, LLC is a private agency where your needs are considered first; a place where clients can count on being understood and assisted in the most professional, confidential manner possible. First Step Services, LLC offers the highest quality services.

    • We understand and respect the urgency of your situation.
    • Convenient locations,
    • Strong relationship with the local community, including attorneys, EAPs (Employee Assistant Programs), local schools & colleges, medical and psychiatric offices and the community at large;
    • Affordable prices; private setting;
    • Accredited by CARF: The Commission for Accreditation of Rehabilitation Facilities (CARF) has awarded First Step Services, LLC National Accreditation to all 4 of our locations.
    • In network with health insurance companies,
    • Licensed by the N.C. Department of Health and Human Services. When seeking a program, check for State DHHS Licensure, accreditation and reputation. Ensure the program you choose is NC DHHS licensed for all levels of care at all divisions and locations.
    • Same day assessment and enrollment services are usually available upon request. There are no up front costs to enroll into our program.
    • Free family program for both client’s families and for others in the community concerned about the substance use of a loved one.
    • Our goal is simply to help you and your family never have another alcohol or drug related problem of any type.

    If you are considering attending counseling inquire about the cost per hour, insurance status and hardship rates. Our cost for clients who don’t have health insurance is $20/hour for most groups.

    We are online with the State DWI Services office to complete your DWI 508 report, often clearing your license in 2-3 days after completing your program once you have provided us with your conviction date.

    We offer low prices on all services with payment plans available in some cases. We accept credit cards and health insurance. If deductibles, co-pays and fees are a concern, we will assist in making it affordable.

    First Step Services, LLC is licensed by the State of North Carolina including a Mental Health Substance Abuse Treatment License, DWI provider code, and full-time Certified Substance Abuse Counselors (CSAC) and Licensed Clinical Addiction Specialists (LCAS), Licensed Clinical Social Workers (LCSW), Licensed Professional Counselors (LPC) and other experienced counselors and therapists with Masters level credentials.

    Inpatient, Residential & Hospital Aftercare:
    First Step Services, LLC provides Intensive Outpatient and General Outpatient aftercare for people discharging from inpatient programs & hospitals across the country. We provide intensive group counseling, family counseling, individual counseling and other services as needed. The goal is to provide people discharging  from facilities with continued treatment and recovery while they transition back into community living; returning to work, to families and resuming a “normal” lifestyle after completing inpatient or hospitalization.  We provide this service at all our locations.

    “I was initially sent to First Step for outpatient treatment after completing a 28 day inpatient program in October 2011 and again in March of 2015. I have always felt extremely comfortable with all the counselors and treatment plans. I have been fortunate to have learned and developed several coping skills and have benefited from all of the time with groups in a few ways. Being able to find people with similar issues has been a huge plus and has helped me to realize that I am not the only person that has received help. Also, discussing the reasons for my individual issues has been a great stress relief and has taught me how to relate to others and deal with the problems at hard in other ways than relying on substances. I am aware of what I need to stay focused on sobriety and have developed skills for dealing with situations when temptation presents itself.”  Anonymous

    A substance use issue such as drug possession, under age drinking, paraphernalia DWI, or other related charge or arrest can be a frustrating, embarrassing event that seems to send your life reeling in a undesirable direction. Legal issues involving alcohol or drug use are expensive, time-consuming and cause a host of other related problems. It can be helpful to speak with someone who has extensive training and experience in this area to  assist you to get past the situation and go on with your life. At First Step you will have a counselor who knows the problems through extensive training in a substance abuse specialty.  Staff has a variety of education, training, credentials and sometimes personal experience. Few healthcare professions receive the amount of specific training and experience in their fields of practice as do our substance abuse professionals.

    Professionals Programs: Click on the link for more information!

    Our VIP – Victim Impact Panel session meets on the 3rd Tuesday of the month from 6:30 to 9:30 PM. The cost is $60. Call our Raleigh office for more information. The VIP session meets DWI requirements for all states that require it. It is beneficial for all who attend, including DWI offenders and interested others who may or may not have had a DWI. Pre-registration is required for the VIP.  Please try to call at least 24 hours in advance to register.


    Choosing outpatient substance abuse treatment

    Choosing outpatient substance abuse treatment

    Congratulations! You have decided to seek information regarding counseling or education for alcohol or drug use.
    Substance use disorder – screening, referral and placement

    Substance use disorder – screening, referral and placement

    Does someone you know need treatment for alcohol or drug use?  Who do you rely on for accurate information
  • Client Experiences

    I came to First Step after getting a DUI. I was very apprehensive about coming to group and wasn’t sure that it was the right fit for me. However, Kayla immediately made me feel at ease and the way she facilitates the group is perfect. She allows for group discussion and feedback and doesn’t pressure


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