The purpose of this case study is to examine the process and report outcomes of providing telemental health video counseling to men who reside at Providence Home, a sober living facility located in Columbia, South Carolina. This case study is instrumental in design. The South Carolina Telehealth Alliance (SCTA) provided a $20,000 grant jointly, for Bright Side Counseling Center and Midlands Recovery Center to expand telehealth services into underserved populations. An extensive search, at the time of this writing, was conducted and we found no instances of telemental health video counseling services being provided to residents of sober living homes in the state of South Carolina. This study was limited to men living at Providence Home. Residents were asked to volunteer and receive, free of charge, four telemental health video counseling sessions via an internet broadband connection. A Licensed Professional Counselor (LPC) conducted the four counseling sessions over four to six weeks in October and November 2019. Volunteer participants completed the Telemental Health Video Counseling Patient Satisfaction Survey after the four counseling sessions. The Institutional Review Board (IRB) approved resident interview questions were used to conduct interviews with the residents that completed the four counseling sessions. Three staff members at Providence Home were also interviewed after all counseling sessions were completed, using IRB approved staff interview questions