Specialized Addiction Healthcare

CARMAhealth’s providers adopt a positive, collaborative approach and integrate primary medicine, behavioral health and care management to promote lasting recovery, encourage self-care and improve treatment outcomes. CARMA stands for Collaborative Addiction Recovery Management and Assistance.

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Monday – Friday 8:00 – 5:00
Saturday Closed
Sunday Closed

 Austin: 512-212-4670
Florida: 754-800-6301

A Medical Home for Your Health and Well-Being

Individuals with substance use disorders need access to healthcare like everyone else. We provide “stigma-free” care that is informed by the science of addiction and recovery. Unlike most of mainstream medicine, we view addiction as a chronic condition that responds to treatment and improves over time.

Our Story

CARMAhealth (“CARMA” stands for Collaborative Addiction Recovery Management and Assistance) was born in Austin Texas on July 5th 2017, but the idea of providing access to high-quality, in-network primary care for addiction and related medical problems was years in the making.

During my years in academic medicine and as a practicing addiction psychiatrist, I witnessed countless people confronting what I called the, “post discharge medical football fumble.” As a dear friend once told me, “just about anyone can stay sober in rehab…it’s when rehab stops that the work begins…that’s when it gets real.” Here we have thousands of people who spend time in drug rehab facilities who often benefit tremendously from the experience, but when it’s time for a “warm handoff” to a medical provider in their community the ball gets dropped (the “fumble”).

The “fumble” takes many forms: providers who can’t (or won’t) treat mental illness; providers who aren’t comfortable treating a person with a substance use disorder; providers who put people back on addicting substances thereby causing a recurrence; providers who are not in network with insurance and demand cash; or just no provider at all.

CARMAhealth is my effort to solve the problem of access to high-quality medical care for substance use disorders in our communities…to pick up the ball and run with it when it gets real!

– Carlos Tirado, MD, MPH



CARMAhealth offers medical care for addiction guided by experienced, qualified and compassionate professionals, from our medical leadership to our doctors and therapists.

Carlos Tirado
Carlos TiradoFounder and CMO
Dr. Tirado’s clinical expertise in addiction treatment and different systems of care has directly informed the fabric of our program, and ensured quality care for all of our patients.
David Kramer
David KramerMedical Director
Dr. Kramer is board certified in General Psychiatry and has worked extensively in the Addiction Psychiatry field for over 20 years. His leadership and guidance have helped CARMAhealth grow.
Steven Powell
Steven PowellMedical Director
Dr. Steven Powell is board certified in Family Medicine and is a member of the American Academy of Family Physicians and the Texas Academy of Family Physicians. His expertise has helped shape CARMAhealth.

Telehealth Services

CARMAhealth offers convenient and streamlined remote access to quality care providers and vital health services via our telehealth portal. Patients can connect with our clinical staff and avail themselves of many of our services no matter where they are. Start exploring our telehealth services today.

Instructions for Computer
Instructions for Mobile
CARMAhealth Patient Portal

Treating the Lifelong Disease of Addiction

Addiction recovery is a lifelong endeavor requiring ongoing management of associated medical and mental health issues. CARMAhealth works with patients at every stage of the treatment process to ensure they have the medical and behavioral health assistance they need to thrive in recovery. Our full continuum of care services, includes:


Quality Care Anywhere

Our convenient telehealth services and multiple locations mean that you or your loved one have access to quality offsite care using cutting-edge health telecom technology. You don’t have to live your life in pain and sickness. Call CARMAhealth today.



CARMAhealth routinely works with most insurance companies to make treatment more affordable. Contact us today to learn more.



If you’re feeling vulnerable to relapse, our clinicians can provide referral to rehab, treatment therapy and other vital care services.



Our professionals provide a comprehensive examination to assess the full scope of patients’ needs prior to starting treatment.

Make An Appointment

Start the healing process now. Contact our friendly and knowledgeable representatives to schedule your appointment and learn more about what we can do for you.

Make An Appointment