Comprehensive Addiction Healthcare in Austin, TX

CARMAhealth Central Austin offers a full array of medical and mental health services, including but not limited to:

  • Primary Medical Care
  • Psychiatric Medication Management
  • Individual Therapy
  • Hepatitis C Treatment
  • Medication-Assisted Therapy (Vivitrol®, Oral Buprenorphine and Sublocade™)
  • Women’s Health Services
  • Select Case Management and Referral Services

The Need for Comprehensive Addiction Healthcare in Austin

Austin, along with the rest of Texas, has been beset by a variety of substance abuse threats that have led to overdose fatality, accidental deaths and a decline in health and quality of life among residents and communities, alike. A significant driver of these issues has been an individual and collective inability to access quality and comprehensive care. When an individual in recovery is forced to forego basic lifesaving medical services, their risk of relapse is significantly increased, which, in turn, creates chaos in their own lives as well as their families and communities. CARMAhealth is looking to reverse this trend by filling an urgent need for seamless and integrated medical treatment. If you or someone you care about needs addiction healthcare in Austin, TX, we’re ready to help you.

Contact Our South Congress Location (coming soon)

Meet Our Team

Steven Powell - Medical Director

CARMAhealth’s Medical 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.

Carlos Tirado - Founder and Chief Medical Officer

Dr. Tirado is board certified in general and addiction psychiatry by the American Board of Psychiatry and Neurology and addiction medicine by the American Board of Addiction Medicine.

David Walsh - Psychiatric Nurse Practitioner, Chief Operations Officer

David is a board-certified Family Psychiatric-Mental Health Nurse Practitioner whose primary area of interest is working with families struggling with addiction repair their family dynamic.

Casey Coton - Psychiatrist

Dr. Coton is board-eligible in general psychiatry by the American Board of Psychiatry and Neurology.

Caroline Hedenberg - Senior Collaborative Care Liaison

Caroline has been in practice as a Social Worker since 2003, and has worked in the inpatient social work and utilization review areas of healthcare, through which she has gained considerable expertise.

Lorie Kmetz - Family Nurse Practitioner

Lorie Kmetz is a board-certified Family Nurse Practitioner. She specializes in primary care and medication-assisted treatment (MAT) for patients with substance use disorders.

Sally Reese - Family and Psychiatric Nurse Practitioner

Sally is dual certified as a Family Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner. Her dual certification and her years of clinical expertise have enabled her to help virtually every patient in our behavioral health population.

Melissa Rivera - Psychiatric Nurse Practitioner

Melissa is a board-certified Psychiatric-Mental Health Nurse Practitioner, licensed and trained to treat behavioral health concerns across the lifespan. She is bilingual and fluent in Spanish with a particular interest in serving diverse populations. 

Becky Scaduto - Psychiatric Nurse Practitioner

Becky is a board-certified Psychiatric-Mental Health Nurse Practitioner trained to treat mental disorder. Her background in research and evidence-based practice has helped her provide quality treatment for her patients.

Jennifer Schaefer - Psychiatrist

Dr. Schaefer is double board certified in General Psychiatry and Child and Adolescent Psychiatry by the American Board of Psychiatry and Neurology.

Isela Werchan - Psychiatrist

Dr. Isela Werchan is board certified by the American Board of Psychiatry and Neurology in General Psychiatry. She has helped our patients rebuild their lives and thrive in recovery.

Anabel Winiecki - Family Psychiatric Mental Health Nurse Practitioner

Anabel is a board-certified Family Psychiatric Mental Health Nurse Practitioner, trained to treat behavioral and mental health across the lifespan. She graduated with her Masters in Nursing from the University of Texas at Austin.

Lindsey Sansing, PMHNP

Lindsey is a board-certified Family Psychiatric-Mental Health Nurse Practitioner (PMHNP), licensed and trained to treat behavioral and mental health concerns across the lifespan.


This place was great for me my life has changed an I feel great now. Thanks Carma!
Joey Castillo
Dr. Powell is amazing, as well as the staff. I would highly recommend this place to anyone.
Kate Penshorn
Excellent mental health professionals in Austin!!! They truly care about their patients by offering first-class services!!
David B. Hutts


Week Days 8:00 – 5:00
Saturday Closed
Sunday Closed

Austin: 512-212-4670

Florida: 754-800-6301


  • Central Austin Office
    630 West 34th Street Suite 301
    Austin, TX 78705
  • South Congress Office
    4201 S Congress, Ste 203
    Austin, TX 78745

  • Pompano Beach Office
    150 E. Sample Road, Suite 320
    Pompano Beach, FL 33064
  • Annandale Office
    5105P Backlick Rd
    Annandale, VA 22003


CARMAhealth strives to provide lifelong medical and behavioral care and support to individuals struggling with past and present substance use disorder.
Integrated, intuitive and compassionate care through each stage of the addiction treatment and recovery cycle, from detox to long-term management.
Expert care, compassionate support and lasting advocacy as you or your loved one endeavor to regain and manage your medical and behavioral health.