Fentanyl Resources, Treatment, and Hotlines in North Carolina

Local Fentanyl Resources in North Carolina

Whether you are the one who is misusing or addicted to fentanyl or the loved one of someone who is, trying to figure out what steps to take to help alleviate the situation can feel like an insurmountable burden. Thankfully, there are several fentanyl resources available to the people of North Carolina, and all it takes to get connected to those resources is a call to a local help line. If you are living in North Carolina and need help with fentanyl or opioid addiction, reach out to one of the following local resources.

NAMI NC Helpline 

The National Alliance on Mental Illness (NAMI) has a statewide resource for residents of North Carolina who are grappling with substance use disorders and associated mental health conditions. By calling the NAMI NC warmline at 800-451-9682, residents will be connected to trained staffers and volunteers, all of whom can listen, provide support, and offer various resources. NAMI NC also has a text line, where individuals can text 919-999-6527 to get the help they need. For requests that do not require immediate attention, individuals can email [email protected]. 

Peer Warmline

The Peer Warmline provides those struggling with mental health disorders and substance use disorders a connection to Peer Support Specialists. These specialists can offer non-clinical support and resources to callers who reach out in crisis and have the unique vantage point of experiencing these issues on a personal level. The state’s Peer Warmline is available 24/7 and can be accessed by calling 1-855-PEERS NC (1-855-733-7762).

Alliance Health Behavioral Health Crisis Line 

Alliance Health offers residents of North Carolina a help line to call when experiencing a substance use or mental health crisis. Calling 877-223-4617 will connect an individual to an Alliance Health staff member who can help determine your needs and direct you towards the appropriate treatments. In addition to this help line, there are a number of walk-in behavioral health urgent care facilities in North Carolina, including:

• Monarch Behavioral Health Urgent Care – Monarch BHUC is located in Raleigh. Opening hours are at 8 a.m. each day of the week, with the facility closing at 10 p.m. Monday – Thursday, 8 p.m. on Friday, and Saturday and Sundays at 5 p.m. Call 866-272-7826.
• The Smith Family Behavioral Health Urgent Care – Formally known as the Mecklenburg Behavioral Health Urgent Care, this facility is open 24 hours a day, 7 days a week. Call 704-273-3942.
• Carolina Outreach Behavioral Health Urgent Care – To get in touch with Carolina Outreach BHUC, call 919-251-9009 right now. This facility is located in Durham and is open 8 a.m. to 7 p.m. Monday – Thursday and from 8 a.m. to 3 p.m. Friday. They are closed on Saturdays and Sundays.

North Carolina Department of Health and Human Services

The North Carolina DHHS offers a variety of resources for those experiencing substance use disorders and/or mental health conditions. One of these resources is being able to contact a local facility-based crisis provider based on the county in NC the resident lives in. Simply visit this page and hover over your county to gain access to your area’s behavioral health crisis line. The crisis line can offer many services, including short-term intensive evaluations, treatment interventions, and behavioral management.

Additionally, NC DHHS also offers Crisis Solutions North Carolina, a service where residents of North Carolina can select their county from a drop down menu and obtain information about various facilities that can help with substance use disorders and mental health conditions, along with contact information for those facilities.

North Carolina Fentanyl Statistics

Fentanyl and other opioids have led to a major public health crisis throughout North Carolina. While many residents reach out for help and obtain the appropriate treatment, many do not do so in time. While the statistics can be staggering, it is important to remember that there are resources available in the state and people who are ready and willing to help those who need it.

Consider the following data:^1,2

• 77% of all overdose deaths involved fentanyl
• In 2021, drug overdose death rates were higher in rural areas than in urban areas
• There were 1,466 fentanyl-positive deaths between January and July of 2023 – there were 1,392 fentanyl-involved deaths within the same span of time in 2022
• More fentanyl-positive deaths occurred in May of 2023 than in any of the 24 months prior to that
• Richmond County, NC has the highest rate of fentanyl positive deaths in the state, with 74.4 of every 100,000 people losing their lives in this manner
• The majority of individuals who had a fentanyl-positive death were Caucasian, making up roughly 70% of these deaths
• Fentanyl-positive deaths occurred most in those in the age range of 25-35

Get Fentanyl Help in North Carolina

Living with an addiction to fentanyl is no way to live at all. Thankfully, there are several services and resources available to North Carolinians that can help them turn their lives around. If you or someone you love is struggling with fentanyl, do not wait any longer. Call us right now at to get started on a new tomorrow.