The road to recovery starts with you.

The first step is always the hardest. But after you make that step, we are there to help.


Opioids – The class of drugs and medications including Fentanyl, Heroin, and Pain Medications.

Recovery – Engaging in activities to bring life back to health after experiencing addiction.

Sobriety – It is being drug and alcohol free, even when taking prescribed medications to support.

Harm Reduction – Engaging in activities to reduce harmful behaviors. Includes reducing drug use while receiving services.

Integrated Opioid Treatment – The gold standard of opioid treatment programs. Organizations that offer a variety of services to meet the needs of the recovering person.

Services designed to empower people to succeed in their recovery; based on 26 years of listening to people’s needs.

  • Medication and Substance Use Counseling
  • Emotoinal Wellness and Behavioral Health Program
  • Peer Recovery Support Services
  • Mobile outreach Team
  • Resource Specialists
  • Pregnancy and Women’s Services

Recovery programs vary based on the needs of the person. Creating a personalized recovery program draws from the full group of services that are provided at each The Life Change Center location. Once a person’s withdrawal symptoms are gone; their thinking is clear, and they can plan their recovery.

People Recover. There is Hope.
  • On average, 840 people received services from TLCC each day of 2023
  • In 2023, 100% of the people seeking services came on their own choice
  • On average, 70% of the people seeking services from TLCC were sober in 2023
  • Based on Data from the CDC, a person receiving services at The Life Change Center is 1,342% less likely to die from an over dose than a person who is not in treatment.

Our programs

In January of 2023, TLCC partnered with Washoe County to create the OTIS program, which is a groundbreaking method of tackling the fentanyl epidemic among Washoe County residents.  Fentanyl poses a significant health threat to the community and is the cause of increased early discharge from treatment, decreased rates of medication compliance, and higher rates of continued substance use during treatment.  The OTIS team helps our clients through the initial phase of recovery from fentanyl, guiding them each step of the way along their path to sobriety and recovery. TLCC has seen incredible results since this program started.

The targets of the program are:

  • Medication compliance
  • Treatment retention
  • Sobriety. Sobriety is defined as taking the prescribed medications with no UDS positive for illicit or non-prescribed drugs or medications.


Outcomes to date:

OTIS patients taking their medications daily: 90.61% (compared to 60.15% of the control group)

OTIS patients remaining in treatment at 6-months: 80.43% (compared to 36.48% of the control group)

OTIS patients' ability to stop using Fentanyl: 31.23% (compared to 30.03% of the control group)

Time period and control group: All patients who were fentanyl positive at intake between January 1, 2023, and May 31, 2023 that did not have access to the OTIS program.

Definition of OTIS: Peer Recovery Support Specialists (PRSS) and Nursing staff work closely with TLCC clients to provide additional support throughout the first 30 days of recovery from fentanyl. The OTIS Team provides peer and medical coaching with a focus on two targets: encouragement and engagement. Engagement efforts help with understanding the “why” of participating in treatment; why it helps and why it is worth it. Encouragement efforts help with understanding the “how” of making it through the induction phase.

Medications are used to eliminate or decrease the withdrawal symptoms and end the obsessive search for opioids just to “stay well.”

The quality-of-life improvement based on medications is significant. Under medical supervision, and with the support of The Life Change Center’s entire team, there is structured dispensing of:

  • Methadone
  • Buprenorphine
  • Vivitrol & Naltrexone
  • Narcan/Naloxone

The primary goal is to develop trust. People surviving the life of opioid addiction often struggle with establishing healthy relationships. The counselor creates a non-judgmental atmosphere where a person can speak openly.

The counseling process also helps the person:

  • Increase their motivation towards improving their life
  • Gain insight into non-productive thoughts, behaviors, and feelings
  • Develop appropriate skills to meet their goals
  • Works with the entire team to facilitate the person’s needs

Many people struggle with addiction because drug use acts to lessen emotional pain associated with emotional health concerns like depression, anxiety and trauma. For people that are struggling with these problems in addition to an opioid addiction, their success relies on receiving help for both. The Life Change Center offers:

  • Psychiatry
  • Evaluation for medications
  • One-on-one therapy for emotional health
  • Group therapy for emotional health
  • Access to telehealth therapy
  • Family and couples counseling
  • Referral to outside agencies

Strengthening Families Program

Strengthening Families or SFP is an evidence-based group curriculum that focuses on the resiliency of the child. Families meet for dinner and education weekly. The participants receive education and support in an age-appropriate fashion. The child learns skills and the parents learn how to facilitate the child’s learning at home. This program is complimented by the Women’s Services team working with the family to ascertain the child’s strengths and preferences. This information is coupled with the family’s abilities and then linkages are made to get the child into a community-based activity. Funding is made available from the State of Nevada Substance Abuse, Prevention and Treatment Association (SAPTA) to pay for enrollment and other necessities to increase the likelihood that the child will engage in the activities.

SPRING Program

This program offers a positivity-based contingency management system for pregnant women in treatment. this program offers help to pregnant women in preparing for birth, preparing for the first 6-months of mothering and developing skills for parenting and emotional regulation.

Pregnancy Support

When a woman is pregnant and in the recovery or harm reduction state, their needs are complex, and the level of support is high. The pregnancy support program has been highly successful. Over 40 women a year go through the program and have successful pregnancies.

The program activities include:

  • Advocacy with healthcare systems and providers throughout pregnancy and the first 6-months of the neonatal stage
  • Education on the course of healthcare
  • Education on breast feeding
  • Provision of necessary items such as diapers, cribs, blankets, and many other items necessary for new mothers
  • Group counseling sessions
  • Case management

Mother’s Groups

Weekly group counseling opportunity for pregnant women, and mothers of young children.

One of the foundations of The Life Change Center’s programs is the focus on meeting individuals where they are at and working with them to develop and individualized program of care. The Peer Recovery Specialists or PRSS are individuals with lived experience, training and certification. Their role is to help individuals adjust to the programs at TLCC, support them when they are linking to other services in the community, to advocate for them and to offer support as they are adjusting to a new life of recovery.


In cases where an individual needs assistance with transportation to a community provider, our PRSS team is able to provide transportation.

Naloxone (Narcan) Distribution & Education

These haunting statistics come from the Center for Disease Control (CDC). The graph refers to a third wave, which accounts for more than half of these deaths. The third wave is fentanyl and carfentanyl. These “super-opioids” have not hit in our community at the same level as it has within the East Coast communities. Unfortunately, it is more likely a matter of when this devastating drug hits Northern Nevada. Because of the high risk of overdose death, the best treatment option for fentanyl is Naloxone or Narcan. The CDC Director states that the use of Narcan should be more common than CPR. Considering the The PRSS team is focused on distribution of life-saving Naloxone (Narcan). The PRSS team wants to get this medication into the hands of drug users and individuals that might be in direct contact with drug users. Trained to provide the proper education, the PRSS team active in developing a system of Narcan/Naloxone availability. please contact them for information on getting some.

Mobile Outreach Team (MORE Team)

If you are a provide of human or health services in Northern Nevada, you are likely that you are seeing more impact of opioid addiction. Please contact us. Our MORE Team can help with linking you patients and clients to our services. The MORE Team members can help with education for your organization.

The MORE Team consists of PRSS and resource specialists. In addition to their work with community providers, the MORE Team helps individuals receiving services from TLCC and those in our Northern Nevada communities. The MORE Team can be reached 24 hours a day, 7 days a week.

Medications used

in treatment

Methadone is a long-acting opiate agonist which has a series of actions similar to those of morphine and other narcotic medications. Yet there are important differences; Methadone has a half-life of ~36 hours, while morphine and many other narcotics have a half-life of ~4 hours. The longer half-life wards off symptoms of opioid withdrawal all day and empowers people to get back into normal life activities without the drug-seeking and drug-using behaviors. In methadone treatment, patients are given enough methadone to ward off opiate withdrawal symptoms, but not enough to induce narcotic effects. In proper doses, methadone does not create euphoria, sedation or analgesia. At a therapeutic level methadone has no adverse effects on motor skills, mental capability or employability.
Buprenorphine is the active ingredient in the brand-name medications Suboxone, Subutex and Sublocade. Buprenorphine has a long half-life, up to 48 hours. Buprenorphine is a partial opioid agonist, and like methadone when taken once daily it blocks other opioids from attaching to receptors in the brain. Buprenorphine at The Life Change Center is medically supervised and dispensed, and comes with full counseling support. This treatment can reduce or eliminate opioid withdrawal and reduce cravings for drug use open up new energies for rebuilding a healthy life.
There are more similarities than there are difference between methadone and buprenorphine. They are both long-acting opioid agonists medications. Some of the differences between the two include that buprenorphine is a “partial agonist” which refers to the chemical make-up and how the medication attaches to the opioid receptors in the brain. Methadone is a liquid mediation, taken orally while buprenorphine is a sublingual medication. Sublingual medications need to dissolve in the mouth and the medication is absorbed through the mouth lining.
People seeking help at The Life Change Center will be involved in a full substance use disorder assessment and a medical assessment. After consideration, options for treatment are given that will help with the decision regarding medication type, or medically assisted vs. non-medical approaches.

These medications are opioid antagonists; they block the opioid receptors. These medications work well for people with no risk of withdrawal who are experiencing psychological cravings to use opioids. These medications do not help reduce withdrawal symptoms, and should not be taken if there is any risk for withdrawal. Vivitrol is a long-lasting form of Naltrexone and can last up to 28 days.

These medications are used when someone has overdosed, they can literally save someone’s life. The medications are given out by the Peer Recovery Specialists of the Life Change Center. These medications do not need a doctor’s prescription, but require education.  These life-saving medications should be in everyone’s home, please contact our Mobile Outreach Team.

The recovery process

While recovery programs differ based on the individual needs, we have observed some predictable phases:

This phase is short, and is designed to guide the recovery program for the first 30 days. For many people this is the hardest phase, but this is where the Hope begins. The steps to take will be made clear and simple, and you will be fully supported.
This is where great things begin; people often experience return of memory and energy levels. It is at this stage where people start to broaden their understandings and clearly conceptualize their options. This is a time where many people engage in frequent group and individual counseling sessions.
After meeting markers set by the individuals involved in our recovery programs, this phase is accented by the move towards independence from the medications. Often we see an increase in counseling during this phase for support.
Medication assisted recovery programs are perhaps best viewed as a bridge between two points, and the goal is to have independence from drugs and medications. Yet, others will need to maintain medications for many years. Our medical staff and counselors can help you determine what may work best for you. For those that complete the medical portion of the recovery program, counseling is designed to address the needs of life without professional or medical supports.

Success rates

Fentanyl, heroin, and prescription pain medication abuse has increased to epidemic rates, and alarmingly high rates among young people. The problem is growing and the social costs are skyrocketing.

“The depth of programming we provide is for the Social Return on Investment. It’s about how well we convert revenue into positive social outcomes”

— John Firestone | Executive Director, Counselor


National average without treatment:


Average sobriety rate at The Life Change Center:


Last year The Life Change Center provided services:

times to people in our care

On average, the women and men of TLCC provided services:

times per day

Annually, The Life Change Center collects data on what we call the Costs of Addiction Survey. This survey measures community savings based on emergency room, first responder, some criminal justice costs, and loss of productivity costs. 

Last year, The Life Change Center saved our communities:

after reducing for the costs of our treatment

Last year:

  • 111,380 Americans died of a drug overdose in 2023. (CDC)
  • 77,845 Americans died from a fentanyl overdose in 2023. (CDC)

Using simple mathematics, a person in treatment at The Life Change Center is:


less likely to die from an overdose compared to individuals who are abusing opioids and not receiving treatment.

Program fees

Through our years of experience we have learned to really appreciate the magnitude of difficulty related to opioid addictions. One of the hardest steps is the first step into treatment.

We know about the costs and strains that this puts on people struggling with the addiction, sometimes costing hundreds of dollars per week for opioids and racking up many other expenses. We understand and have developed our program to reduce the financial obstacles of treatment admission.

At The Life Change Center, the cost for self-pay are complete package service programs and all services (individual and group counseling, testing, medical exam, doctor visit and other services) are included in that fee.

We accept:

  • Medicare
  • Medicaid
  • (HPN, Silver Summit, Amerigroup, Nevada State Medicaid)
  • Private Insurances

Our insurance billing staff will find out about your coverage benefits immediately, while you are completing the admission process.

Accessing treatment

We have trained staff to guide you through the admission process; staff that appreciates the courage in taking that first step.

The admission process requires three assessments:

  1. Substance Use Disorders with a licensed or certified counselor
  2. Medical history with a certified medical assistant or nurse
  3. Medical examination with a physician

This process can range between 1 ½ and 3 hours. It is during these assessments that you will be given many options for treatment. You will have immediate access to case management and group therapy. THERE IS NO WAITING LIST.

To make the admission process as effective as possible you will need a photo ID. Additionally, if you have other prescriptions, please bring in this information.


130 Vine Street
Reno, NV 89503

Phone: (775) 900-8522
Fax: (775) 234-2904

Daytime Hours

Mon – Fri: 6am – 12:45pm
Sat – Sun: Closed

Closed for lunch Mon., Tue., Thu., & Fri. 10:25am–11am.
Wednesday closed for lunch 10:25am-11:30am

Intakes Mondays & Wednesdays starting at 6am (Please call ahead for details on intakes).

Evening Hours

Mon-Fri 4:30pm – 7:45pm

Intakes Tuesdays & Thursdays starting at 4:30pm (Please call ahead for details on intakes).


1755 Sullivan Lane
Sparks, NV 89431

Phone: (775) 355-7734
Fax: (775) 460-4822


Mon – Fri: 6am-12:45pm
Sat – Sun: Closed

Closed for lunch Mon., Tue., Thu., & Fri. 10:25am–11am.
Wednesday closed for lunch 10:25am-11:30am

Intakes Tuesdays & Thursdays starting at 6am (Please call ahead for details on intakes).


1201 N Stewart Street
Carson City, NV 89701

Phone: (775) 350-7250
Fax: (775) 234-2904


MonFri: 6am-12:45pm
Sat – Sun: Closed

Closed for lunch Mon., Tue., Thu., & Fri. 10:25am–11am.
Wednesday closed for lunch 10:25am-11:30am

Intakes Tuesdays and Wednesdays starting at 6am (Please call ahead for details on intakes).


2105 Capurro Way
Sparks, NV 89431

Phone: (775) 499-5534


Mon-Fri: 7am-4pm

After hours call 24/7