Best substance abuse & addiction counseling in West Columbia
These are the nine West Columbia providers for whom substance abuse and addiction counseling is a core, primary service, ranked using our methodology, which weighs rating, review volume, recency, and sentiment.
Looking for a broader mental health match rather than an addiction specialist? See our best counselor overall list, which covers general counseling practices across West Columbia.
Picks are ranked by score and relevance to substance abuse & addiction counseling, so a lower overall score can rank higher here.
At a glance
| # | Business | Score | Rating | From | Best for |
|---|---|---|---|---|---|
| 1 | Brandi Burris, Psychiatric Nurse Practitioner | 84 | 5 (27) | — | Medication management with a personal touch |
| 2 | Crossroads Treatment Center of Columbia, SC | 77 | 4.2 (92) | — | Medication-assisted treatment programs |
| 3 | Mary Goldin, Psychiatric Nurse Practitioner | 73 | 5 (11) | — | Trauma-informed psychiatric care via telehealth |
| 4 | Mary Goldin, Psychiatric Nurse Practitioner | 72 | 5 (5) | — | Personalized medication matching |
| 5 | Hannah Davis, Counselor | 69 | 5 (2) | — | Coping-skills focused talk therapy |
| 6 | Aviance Pankey, Psychiatric Nurse Practitioner | 69 | 5 (2) | — | Unhurried, question-driven treatment planning |
| 7 | LRADAC | 54 | 3 (53) | — | Comprehensive program pathways, if you push through intake |
| 8 | Insights Educational & Treatment Services | 50 | 3.5 (15) | — | Court-ordered testing and class-based programs |
| 9 | Michelle Clay, Counselor | 27 | — | — | New to the directory, not yet reviewed |
Ranked picks

Brandi Burris, Psychiatric Nurse Practitioner
Why it ranks first
Brandi Burris holds a perfect 5-star average across 27 reviews, the strongest combination of volume and sentiment on this list. Patients repeatedly mention feeling at ease from the first visit and credit her with clear explanations of both diagnosis and treatment path, which matters a great deal in addiction care where trust is half the battle.
Pros
- Prescribing psychiatric nurse practitioner
- Explains diagnoses and options clearly
- Smooth intake and referral process
- Judgment-free, comfortable atmosphere
Services: mental health counseling, substance abuse counseling

Crossroads Treatment Center of Columbia, SC
Why it ranks second
Crossroads pairs the highest review volume of any specialist here (92 reviews) with solid sentiment, and reviewers describe a program built around buprenorphine and methadone options plus real care coordination. Multiple people credit the center's counselors, like Leah and John, and Program Director Aisha, with helping them stay sober for years.
Pros
- Staff remember clients by name and check in personally
- Medication-assisted treatment including buprenorphine and methadone
- Warm, non-judgmental culture
- Long-term recovery support and care coordination
Watch out: Program structure can be hard to fit around a full-time work schedule.
Services: substance abuse counseling, mental health counseling

Mary Goldin, Psychiatric Nurse Practitioner
Why it ranks third
Mary Goldin's Rosewood-area practice earns a perfect rating across 11 reviews, with patients pointing specifically to her trauma-informed approach and willingness to listen before adjusting treatment. The telehealth option and straightforward scheduling make her a practical pick for people juggling recovery with work or family demands.
Pros
- Board-certified psychiatric nurse practitioner
- Trauma-informed care approach
- Convenient telehealth and online scheduling
- Access to specialty treatments like Spravato and TMS
Watch out: Review count is still modest, so treat this as an early but consistent signal.
Services: child adolescent counseling, mental health counseling, substance abuse counseling

Mary Goldin, Psychiatric Nurse Practitioner
Why it ranks fourth
This is a separate Mary Goldin location serving the Columbia and Rock Hill area, also sitting at a perfect rating, with reviewers highlighting her patience in finding the right medication rather than defaulting to a standard protocol. With over five years of experience and availability seven days a week, she's a flexible option for ongoing psychiatric support.
Pros
- Board-certified psychiatric nurse practitioner
- Personalized medication management
Watch out: Only five reviews so far, so the sample is small.
Services: child adolescent counseling, mental health counseling, substance abuse counseling

Hannah Davis, Counselor
Why it ranks fifth
Hannah Davis uses evidence-based methods like CBT and EMDR, and the two reviews on record describe real shifts in confidence and self-worth after starting sessions with her. It's a thin dataset, but the sentiment is unambiguous for those who have written in.
Pros
- Uses evidence-based methods (CBT, EMDR)
- Teaches practical coping strategies
Watch out: Only two reviews on record, so there isn't much evidence of breadth yet.
Services: child adolescent counseling, mental health counseling, substance abuse counseling

Aviance Pankey, Psychiatric Nurse Practitioner
Why it ranks sixth
Aviance Pankey's small but perfect review record points to a provider who takes her time rather than rushing appointments, asking questions that help patients actually think through their options. Both in-office and telehealth availability add flexibility for ongoing care.
Pros
- Attentive, unhurried appointments
- Thoughtful treatment planning
Watch out: Only two reviews so far, an early signal rather than a proven track record.
Services: child adolescent counseling, mental health counseling, substance abuse counseling

LRADAC
Why it ranks seventh
LRADAC offers real clinical depth, including medication for opioid use disorder and multiple program pathways, and clients who get past the front door often describe transformative, nonjudgmental care from clinicians and nurses. The catch is getting there: front-desk friction and intake backlogs are a recurring theme across the 53 reviews on file.
Pros
- Clinicians deliver skilled, nonjudgmental care
- Multiple program pathways including MOUD
- Staff who remember clients and stick with them through setbacks
- Some describe it as the only place they'd return to
Watch out: Reviewers frequently cite rude front-desk staff, long wait times, and unclear intake communication.
Services: substance abuse counseling

Insights Educational & Treatment Services
Why it ranks eighth
Insights handles court-ordered and school-referred testing alongside classes and online courses, and reviewers who worked with Mr. Cole and the therapy team describe genuine recovery wins, including regaining custody and staying substance-free. The review spread is sharp, though, with a real split between five-star praise and one-star frustration.
Pros
- Mr. Cole and therapy staff credited with real recovery outcomes
- Online courses and class-based options available
- Handles court-ordered and school-referred testing
- Some reviewers rebuilt family relationships through the program
Watch out: About 40% of reviews cite staff rudeness, lost paperwork, testing delays, or fees seen as excessive.
Services: substance abuse counseling

Michelle Clay, Counselor
Why it ranks ninth
Michelle Clay is listed as a counselor serving the West Columbia area, but there isn't yet a review history to draw on for sentiment or outcomes.
Pros
- Listed as a counseling specialist in the area
Watch out: No reviews on file yet, so there's no independent evidence to evaluate the experience.
Services: child adolescent counseling, mental health counseling, substance abuse counseling