50 Years of Dedicated Service

Through compassion, empathy and a deep devotion to helping others, we have helped shape the communities of Lancaster county. Our prevention, treatment and recovery services are built to help not only those in need, but to stop the use of substances before it becomes a problem. You’ll find us at local events, schools, and at community centers reaching out to others to educate and prevent substance use disorder, as well as in the trenches with our clients as they work through treatment and recovery.

Counseling Services of Lancaster has been a staple of Lancaster county for 50 years, and in that time, we’ve helped thousands of people with substance use disorder reclaim their lives.

Accredited by CARF - The Rehabilitation Accreditation Commission

Proudly licensed by South Carolina Department of Public Health

Standardized through the SC Office of Substance Use Services

What We Treat

  • This includes substances like morphine, heroin, codeine, oxycodone, hydrocodone and fentanyl.

  • This includes substances like beer, wine, and liquor.

  • This includes substances like marijuana, prescription medicines, such as pain pills, stimulants, or anxiety pills, methamphetamine, cocaine, hallucinogens and inhalants.

  • Compulsive gambling, also called gambling disorder, is the uncontrollable urge to keep gambling despite the toll it takes on your life. Gambling means that you're willing to risk something you value in the hope of getting something of even greater value.

Forty Acre Rock Heritage Preserve, Kershaw, SC | Steve Thomas

Our Core Values

  • At CSL, we lead with compassion. We understand that substance use disorder is a disease that can be treated successfully. Every person who walks through our doors will get the same warm smile, the same level of engagement, and the same amount of empathy--no matter what happened in their past.

  • Every client of CSL can feel secure that their time with us is confidential. We have their best interest at heart, because we understand how challenging this time of vulnerability can be. We have to trust each other so we can be vulnerable together, with the goal of health always guiding us.

  • At CSL, we are all family. From each member of our staff, to each client, we are all connected and on the same path. Substance use disorder is a family disease, affecting not just the individual with it, but those they are connected to. Our goal is treat the disease and help put families back together.

  • CSL has deep roots in the Lancaster community. We value those long lines of connection, and the people within. Our desire to is help make our county a wonderful place to raise a family, work and thrive, and we're doing that through the service of healing.

Read the 2026 County Plan here

FAQ’s

  • Absolutely not—unless you tell them yourself. Counseling Services completely respects your right and need for the utmost privacy and confidentiality. Moreover, Counseling Services adheres too and is governed by very strict federal confidentiality laws regarding drug and alcohol rehab treatment.

  • The impact of addiction on the workplace varies with each person. Concerns about lost income and missing work are valid concerns that we want to help you address. Counseling Services works with employers and employees to limit the impact of treatment on employment and the workplace.  In most cases, careers and professional employer-employee relationships are saved and even enhanced because of treatment.

  • Staff at Counseling Services is comprised of experienced professionals who hold licenses in substance abuse counseling or the professional discipline they represent, such as counseling, psychology, marriage and family therapy, social work, and more. Our programs are also licensed by the states in which they are located. All of Counseling Services’ programs are accredited by the Commission on Accreditation of Rehabilitation Facilities CARF. 

  • We have a team of admissions staff available to take your phone call. Admissions can be reached at 803-285-6911 and is available during normal operating business hours. We can answer any questions you have and if you or your loved one is ready for treatment, will begin the process by scheduling an assessment with one of our clinicians or if appropriate will provide referrals to make sure we get you the help you need. Contact us today to get the process started.

  • CSL does not provide inpatient treatment, but we have trusted partners we refer out to. Withdrawal from alcohol and most drugs can possibly require a full-time, in-house commitment. After detox, it depends on a variety of factors. Spending several weeks in a full-time treatment facility is the ideal way to “jump start” the recovery process by gaining vital tools to remain sober.  An appropriate treatment recommendation will be made by the client’s counselor.