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Pyramid Healthcare
Gastonia, North Carolina

Licensed Counselor – Substance Use & Behavioral Health

CounselorIncludes callFull-Time

Listed compensation

$57k-$60k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

  • Licensed Counselor – Full-Time
  • Gastonia, NC – Freedom Detox | Pyramid Healthcare
  • $57,000–$60,000/year | Based on Licensure & Experience
  • Full-Time
  • Comprehensive Benefits Package

Make a Meaningful Impact in Recovery

Freedom Detox is seeking a compassionate and dedicated Licensed Counselor to join our clinical team in Gastonia, NC. This is an opportunity to provide meaningful support to individuals navigating substance use and mental health challenges while helping them take the first steps toward long-term recovery.

If you are a behavioral health professional who enjoys working collaboratively, providing high-quality clinical care, and making a difference in the lives of others, we want to hear from you.

What You'll Do

As a Licensed Counselor, you will provide clinical services to clients throughout the detox and recovery process, including:

  • Complete assessments of clients' behavioral, emotional, cognitive, spiritual, and social needs
  • Develop and monitor individualized treatment goals in collaboration with the treatment team
  • Provide individual counseling, family sessions, and therapeutic groups
  • Assist with discharge planning and coordinate appropriate aftercare services
  • Maintain accurate, timely, and compliant clinical documentation in the electronic health record
  • Support utilization review activities and insurance authorization requests
  • Provide crisis intervention and help maintain a safe, supportive, and therapeutic environment
  • Participate in treatment team meetings and collaborate with medical and clinical staff
  • Assist with program curriculum development, staff training, and implementation of clinical best practices
  • Participate in an on-call rotation as assigned
  • Complete required training and other duties as needed

What We're Looking For

Required

  • Master's degree in Counseling, Social Work, Psychology, Chemical Dependency, or a related field
  • Active North Carolina clinical or associate-level license, or eligibility to obtain/maintain one

Preferred Licensure

  • LCSWA or LCSW
  • LCASA or LCAS

Preferred Experience

  • Experience in substance use treatment, detox, behavioral health, or mental health
  • Experience providing trauma-informed care
  • Strong clinical documentation and communication skills
  • Ability to work effectively as part of a multidisciplinary treatment team
  • Ability to remain calm, professional, and effective in crisis situations
  • Familiarity with applicable state regulations, accreditation standards, and clinical compliance requirements

Why Join Freedom Detox?

At Freedom Detox, you'll be part of a team committed to helping individuals begin their recovery journey in a safe, supportive environment.

You'll Enjoy

  • Competitive salary based on licensure and experience
  • Comprehensive benefits package
  • Opportunities for professional growth and advancement
  • Collaborative clinical environment
  • Meaningful work that directly impacts clients and families
  • Supportive leadership and a mission-driven team

Ready to Make a Difference?

If you're a counselor looking for a rewarding opportunity where your clinical expertise can make a real difference, apply today to join Freedom Detox in Gastonia, NC.

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.

We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.

COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to Know More?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Key Responsibilities

The Licensed Counselor will provide clinical services including assessments, individual and group counseling, and the development of individualized treatment goals. They are also responsible for maintaining accurate clinical documentation, coordinating aftercare services, and participating in crisis intervention and treatment team meetings.

Requirements

Candidates must hold a Master's degree in Counseling, Social Work, Psychology, or a related field. An active North Carolina clinical or associate-level license is required, along with experience in substance use or behavioral health treatment.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Substance use counselingMental health assessmentFamily therapyGroup therapyTreatment planningMultidisciplinary collaborationElectronic health records

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 44% are remote, 40% have no call, 70% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$59k midpoint carries the purchasing power of roughly $62k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

26 matches · ranked by pay

Salary Distribution26 jobs · 19 employers

10
<$75k
10
$75k-90k
2
$90k-105k
0
$105k-120k
4
$120k+

Annual compensation range

Benefits & Perks24 jobs · 19 employers

401k / retirement match
92% this job
Sign-on bonus
46%
CME allowance
25%
Loan repayment
17%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist (LMFT, LCSW, LPCC)

LifeStance Health · San Diego, California

$117k-$134k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#3

Licensed Clinical Professional Counselor (LCPC)

$115k-$120k
#4

Licensed Clinical Mental Health Counselor (LCMHC)

$115k-$120k
+ 24 more · ranked by pay

Work-life snapshot

median 6.1this job 1.5
Below most Substance Use / Addiction Counselor listings for work-life

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Gastonia

Typical 3-bedroom home value
$277k≈ 4.9× annual pay
Typical market rent
$1,501/mo≈ 32% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement