Strategic by default
You get someone who will tell you that one clinically reviewed level-of-care page is worth more this quarter than a dozen blog posts, and show you the demand data behind that call.
Industries
Families and people looking for treatment start with a search: for detox, for a program that takes their insurance, for something within driving distance. We build the technical foundation, the program and location pages and the authority signals that put an accredited provider in front of them.
Behavioral health, healthcare and other trust-dependent service businesses come to us for senior SEO judgment plus someone who does the work, without the cost or complexity of a traditional agency.







What we do
One person owns the whole picture: the technical foundation, how your levels of care and locations are structured, the content and who reviews it, your local presence, the authority signals behind your name, and tracking that connects a search to an inquiry your admissions team can actually work.
You get a senior strategist in the seat, not an account manager relaying notes. In behavioral health the consequential decisions (what to publish, what to claim, which levels of care to build out) are judgment calls with compliance attached.
Treatment sites tend to accumulate old program pages, retired locations, duplicate insurance templates from a past agency. We fix crawling, indexing and speed first, because a site Google cannot read cleanly will not outrank a directory that it can.
Families increasingly ask an assistant what detox involves or whether a plan covers residential care before they open a search engine. Getting cited in those answers rewards specific, clinically accurate, clearly attributed writing, and penalizes vague marketing prose.
Usually the largest unlock. Detox, residential, PHP, IOP and outpatient are distinct decisions with distinct searches, and folding them into one programs page means none of them ranks, and neither do your individual facilities.
Content with teeth, written for someone deciding whether to call. That means honest explanations of what withdrawal management involves, what a 30-day stay looks like, and what insurance typically covers, reviewed by a clinician before it publishes.
Most inquiries carry a geography: a city, a state, a distance a family can drive. Profiles for treatment facilities need careful category and service selection, and this vertical has a long-standing problem with fabricated listings crowding the map.
Links are how Google separates two facilities that look identical on paper. The ones that count here are earnable and verifiable: accreditation directories, state licensure listings, professional associations, university and public-health citations, legitimate press.
If you cannot tell which inquiries came from organic search, you cannot judge the channel. Tracking here has to be built with privacy constraints in mind, because substance use treatment records sit under rules stricter than HIPAA alone.
Generic SEO agencies struggle in behavioral health because almost nothing here works the way it does elsewhere. Paid search is gated behind LegitScript certification, so organic carries weight it does not carry in other industries. Directories and lead brokers hold the broad terms. Every page is judged against YMYL standards, where clinical review and real credentials decide whether the content is trusted at all. We work as your senior SEO, owning strategy and execution across technical work, program and location pages, clinically reviewed content, authority, AI search visibility and inquiry tracking.
How this compares
Three ways a treatment provider usually covers this work, and what each route costs in seniority, speed and attention.
Fractional SEO
Straight to Results →
Agency SEO
The Long Way Around →
Straight to Results →
You work directly with a senior SEO who knows your business.
No templates. Just what moves the needle for you.
No black boxes. Just clarity.
The Long Way Around →
You rarely work with experienced SEOs.
Cookie-cutter strategies for everyone.
You start over again and again.
| Fractional SEO | A traditional agency |
|---|---|
| Who does the work | |
| Fractional SEO: One senior SEO with over a decade of enterprise experience, who plans the work and then does it. Content reviewed with your clinical reviewer and counsel before it goes live. | A traditional agency: Usually a junior, briefed secondhand by someone who is not doing the work. |
| Who you talk to | |
| Fractional SEO: The same person every time, on a call every two weeks. | A traditional agency: An account manager who carries your questions to the team and the answers back. |
| What it costs | |
| Fractional SEO: From $2,500 a month for the work itself. Never paid per lead, call or admission. | A traditional agency: A retainer, sometimes with per-lead or per-admission fees on top, the kind of arrangement EKRA and LegitScript scrutinise. |
| How long you are tied in | |
| Fractional SEO: Six months to start, then month to month, with 30 days' notice. | A traditional agency: Commonly a twelve-month agreement, up for renewal before you have had time to judge it. |
| What the first 90 days produce | |
| Fractional SEO: A full SEO and AI-search audit, the quick wins that clear compliance review already implemented, and a six-month plan you can see. | A traditional agency: Discovery, a strategy deck, and work starting somewhere in month two. |
| How success is measured | |
| Fractional SEO: Qualified inquiries, followed through to admissions where your systems allow it. | A traditional agency: Sessions, impressions and keyword positions. |
| What you own | |
| Fractional SEO: The strategy, the accounts and the documentation, all in your name from day one. | A traditional agency: Often held by the agency, and hardest to get back at the moment you want to leave. |
An agency is the better call when you need paid media, creative and SEO run as one programme, or when the volume of execution is past what one senior person can cover. We will say so on the call rather than take the retainer.
One partner. One strategy. One clear path to growth.
Senior expertise and real strategic leadership for treatment providers, without the overhead, the account layers, or execution that gets diluted between the strategy deck and your site.
Industry challenges
Addiction treatment sits in a category with its own advertising rules, its own accreditation signals and its own history of abuse. These four problems come up on nearly every engagement.
The challenge
Google suspended addiction treatment ads in 2017 after reporting on lead brokers reselling calls, and reopened the category only to advertisers certified by LegitScript. Meta applies a similar requirement. Certification takes time and carries an annual cost, so the channel most businesses use to buy their way to visibility is either closed to you or slow and expensive to open.
How we solve it
We treat organic as the channel that has to carry the weight, and build it accordingly: level-of-care pages, location coverage and content that earns position without a certification queue in front of it. Where you do pursue certification, the site and documentation work that supports it overlaps almost entirely with the SEO work.
The challenge
Search the broad terms and you mostly find aggregators and directories rather than providers. Many of those sites resell inquiries, and some are owned by competing treatment networks, so a family who believes they are contacting a facility can be routed to whoever is paying that week. Buying those inquiries back also raises questions under EKRA and state patient-brokering statutes that your counsel, not your marketer, should answer.
How we solve it
We go after searches where a named provider can win: specific levels of care, specific substances, specific places, and insurance questions tied to your actual network status, rather than fighting head-on for terms the aggregators have held for a decade. The aim is for people to reach you directly instead of through an intermediary.
The challenge
A success rate is the first thing a marketing team wants on the homepage and the last thing that survives review. Treatment outcomes are difficult to define and harder to substantiate, and unsupported claims in this category draw attention from the FTC and from state regulators, not only from a skeptical reader. Several states have statutes aimed specifically at deceptive treatment marketing.
How we solve it
We do not publish an outcome figure unless you can show where it comes from and who stands behind it. In its place we build the trust signals that are verifiable (Joint Commission or CARF accreditation, state licensure, named clinical staff and their credentials, identified authors and reviewers), which is also what Google's raters look for on a YMYL page.
The challenge
Clinically, detox, residential, partial hospitalization, intensive outpatient and standard outpatient are different services with different admissions paths. On most treatment websites they share one page, written in ASAM terminology that a family searching "inpatient rehab near me" would never type. The result is a site that ranks for the brand name and little else.
How we solve it
We build a page per level of care in the language people actually use, cross-referenced to the clinical terms so both audiences land in the right place. Facility and city pages sit underneath, so a multi-site operator competes in each market rather than once, nationally.
You get someone who will tell you that one clinically reviewed level-of-care page is worth more this quarter than a dozen blog posts, and show you the demand data behind that call.
We work directly with your clinical reviewer, your admissions team and your compliance contact, because in this category a page none of them has read should not go live.
Success is measured in qualified admissions inquiries traced back to organic search, not in sessions or a keyword count that never reached the admissions team.
Andrew was amazing to work with from the first time we meet. He was very efficient in updating our existing website to create more activity from our website. I highly recommend Andrew to anyone looking to improve their SEO for better results.
FAQ
Behavioral health and other regulated, trust-dependent categories are part of the work. What transfers is the mechanics: YMYL content that has to survive clinical review, level-of-care architecture, location coverage for multi-site operators, and a paid channel that is gated so organic has to carry more. What differs between providers is your network status, your accreditation and which markets you can realistically serve.
Two differences matter. The first is who does the work: at most agencies the senior person sets direction in the sales call and hands execution to a junior team with an account manager in between, whereas fractional means the senior person is the one in the account. The second is the model. Many behavioral health agencies sell leads alongside services, which puts their incentives somewhere other than your site. We sell hours and strategy. You keep the accounts and the documentation.
Local and profile work usually moves first: category corrections, listing cleanup and spam reporting can show up within weeks. New level-of-care and facility pages generally take three to six months to settle, longer than a typical local business because clinical review adds a step and because YMYL pages are held to a higher bar before Google trusts them. In the first 30 days expect a prioritized plan, tracking in place and a content review workflow, not rankings.
Yes. Assistants citing health information lean hard on signals of legitimacy: a named clinical author, a reviewer with verifiable credentials, accreditation you can point to, consistent facts about who you are and where you operate. We track where you currently appear for the questions families ask, then build the content and markup to widen that. The measurement tooling is young, and we will say so plainly rather than sell you a certainty that does not exist yet.
Qualified inquiries attributed to organic search, followed through to admissions where your systems allow it. That means call tracking, form and chat attribution, and a handoff into your CRM. It also means a tracking setup your privacy counsel has looked at, because substance use disorder records fall under 42 CFR Part 2 in addition to HIPAA, and federal guidance on web tracking technologies has been litigated and partly vacated. We configure conservatively and document what we collect.
It can, and the qualification usually comes from being specific rather than from chasing volume. A page that states your levels of care, your accreditation, the insurers you are genuinely in network with and the locations you operate will attract fewer visitors than a broad guide, and more of the ones your admissions team can actually help.