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Promises Behavioral Health - The Ranch Tennessee

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At a Glance

2 Accreditation(s)

Medication

Inpatient

Outpatient

Accepts Private Health Insurance

Accepts Public Health Insurance

Accreditations

The Joint Commission

Overview

Set on a 2,000-acre working horse ranch, The Ranch Tennessee combines trauma-focused treatment with equine and adventure therapies in a gender-specific, rustic setting—offering a deeply immersive healing experience for adults facing addiction and mental health challenges.

  • Location:

    5166 Highway 48 North , Dickson, TN 37055 Directions

  • Ages Served: Adults (Ages 26-64), Young Adults (Ages 18-25)
  • Genders Accepted: Female, Male
  • Detox For: Opioids, Alcohol, Benzodiazepines, Cocaine, Methamphetamines
  • Available Services: Transitional services, Recovery support services, Treats alcohol use disorder, Treats opioid use disorder, Mental health treatment
  • Special Programs: Adult men, Adult women, Court referrals, Military families, Past domestic violence, Past sexual abuse, Past trauma, Mental health disorders, HIV/AIDS, Pregnant/postpartum, Veterans, Pain management, Seniors, Young adults
  • Languages Served: English

Immersive Healing on a 2,000-Acre Horse Ranch

The Ranch Tennessee offers a treatment experience grounded in nature, community, and clinical depth. Located just outside Nashville, the facility sits on a sprawling 2,000-acre working horse ranch, where clients engage in equine-assisted therapy and other outdoor experiences. The natural setting isn’t just scenic—it plays a central role in helping clients regulate emotions, reconnect with their bodies, and rebuild a sense of calm and agency.

Trauma-Focused, Dual Diagnosis Treatment

This facility specializes in treating co-occurring mental health and substance use disorders, particularly for individuals with unresolved trauma. Modalities like EMDR, adventure therapy, and expressive arts are integrated into programming, giving clients a variety of ways to process and express their experiences. Treatment also addresses process addictions, eating disorders, and personality disorders, with dedicated clinical oversight for complex cases.

Gender-Specific Living in Rustic Cabins

Clients are housed in one of five gender-specific cabins designed to foster connection and safety. Shared kitchens encourage communal meals and bonding, while the rustic, cabin-style setting supports a low-distraction environment conducive to healing. The physical layout and structure of the campus reflect the facility’s emphasis on grounded, experiential recovery.

A Holistic Approach That Includes the Body, Mind, and Spirit

Alongside talk therapy and structured group work, clients participate in fishing, hiking, yoga, ropes courses, and volleyball. Both 12-Step and non-12-Step recovery paths are supported, along with spiritual recovery programs. This range of offerings reflects The Ranch’s commitment to treating the whole person, not just the symptoms of addiction.

Transition Support and Continued Connection

After treatment, clients can access structured aftercare that includes continued therapy appointments and participation in alumni recovery groups. This continuity of care helps individuals maintain progress and connection, which are key predictors of long-term recovery success.

What Patients Are Saying

Patient reviews describe the facility as a place of deep emotional healing, praising its compassionate staff and immersive therapeutic environment. Alumni frequently highlight equine therapy and outdoor programming as transformative. Some concerns have been raised about administrative communication and billing, but clinical care receives consistently high marks for its thoroughness and heart.

Insurance Accepted

Private

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • MVP Health Plan
  • United Medical Resources (UMR)
  • Other Private Insurance

Public

  • IHS-funded

Disclaimer: Additional insurance plans may be accepted. Please contact the provider directly to confirm current coverage details, as this information may change.

Financial Assistance

Provided Not Provided
Free
Payment assistance
Sliding fee scale

Treatment

Treatment Setting

Treatment Approaches

Additional Support and Services

Counseling and Education

Transition Support

Testing & Pre-Treatment

Medication-Based Treatments

Other Conditions Treated

Amenities and Experiences

Amenities

Room Amenities

Activities

Setting

Policies

Ownership Type

StartYourRecovery.org provides facility information using publically available data from the Substance Abuse and Mental Health Services Administration and cannot independently verify the data. StartYourRecovery.org does not guarantee the quality of care or results of working with any provider or treatment facility. Please contact us if you are the proprietor of a facility and have updates or corrections to site content.