Provider Referral

If you would like to refer a patient to an AppleGate Recovery clinic, please complete the following form and an admission professional will be in touch as soon as possible.

  • Caller information

  • Patient/Client Information

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Call Your Nearest Clinic

Louisiana

Baton Rouge
T: 225.208.2000

Monroe
T: 318.582.2335

Bossier City
T: 318.716.3814

Thibodaux
T: 985.243.1822

Lake Charles
T: 337.513.4844

Arkansas

El Dorado
T: 870.639.4527

Kentucky

Crestview Hills
T: 859.780.5793

Ohio

Huber Heights
T: 937.401.2789

Elyria
T: 440.472.1924

Willoughby
T: 440.336.8465

Tennessee

Nashville
T:  615.205.3577

Texas

Lewisville
T: 469.470.1151

Plano
T: 972.954.4585

Virginia

Blacksburg [COMING SOON]
T: 540.274.2235

Richmond [COMING SOON]
T: 804.409.3866