County resource guide
Autism Resources in Smyth County, Virginia
Local providers, school contacts, and support services for autism families in Smyth County. Virginia statewide resources also apply.
Smyth County — home to Marion and Chilhowie — is in the southwestern Virginia highlands. Johnston Memorial Hospital provides regional medical services. Provider availability is limited; families travel to Bristol or Abingdon for more autism services. PEATC provides free statewide IEP advocacy, and Virginia's Infant and Toddler Connection provides EI for children under 3.
Provider directory
Local Providers10 providers in Smyth County
About our listings
Provider listings on Autism Parent Club are submitted by practices or researched from public sources. All listings are reviewed for accuracy before publication. To suggest a correction, use the “Suggest a correction” link below.
Diagnostic clinics
Formal autism evaluations by developmental pediatricians, psychologists, or neuropsychologists.
Lebanon · multi-county
Ballad Health — Russell County Medical Center (Russell County)
Ballad Health's Russell County Medical Center in Lebanon provides local healthcare for this Southwest Virginia coal-country county. Comprehensive autism evaluations require travel to Bristol (~40 miles) or Johnson City, TN (~55 miles). Telehealth through Carilion or Ballad Health is strongly recommended.
Marion · multi-county
Carilion Children's — Smyth County Developmental Referral
Carilion Clinic's network is the primary specialty care resource for Smyth County (Marion). Mountain States Health in Johnson City, TN (~35 miles south) is an alternative for many SW Virginia families. For autism evaluations, Carilion in Roanoke (~80 miles north) is the primary academic center destination.
Mountain States Health (Johnson City, TN, ~35 mi south) is also accessible for Smyth County families and sometimes has shorter waitlists.
Early Intervention (0–3)
Free services for children under 3 under IDEA Part C.
Marion
Infant & Toddler Connection — Smyth County (Part C)
Virginia's Part C early intervention for Smyth County children birth to age 3. Free developmental evaluations and in-home therapy services administered through Mount Rogers Community Services Board.
FREE under IDEA Part C. Self-referral accepted.
ABA therapy
Applied Behavior Analysis therapy — typically requires insurance authorization.
Marion · multi-county
New River Valley ABA Services — Smyth County (In-Home/Telehealth)
In-home and telehealth ABA therapy for Smyth County. Given the rural SW Virginia geography, in-home delivery and telehealth supervision are often the most practical options. Bristol-area providers (TN/VA border) may also serve this county.
Contact Mount Rogers Community Services Board about current ABA providers serving Smyth County.
Mental health
Therapists and psychiatrists experienced with autistic children and adults.
Wytheville · multi-county
Mount Rogers Community Services Board — Russell County
Mount Rogers Community Services Board provides mental health, DD, and autism-related behavioral health services for Russell County. DD waiver coordination and crisis services are available for Southwest Virginia families.
Wytheville · multi-county
Mount Rogers Community Services Board — Wythe County
Mount Rogers Community Services Board provides mental health, DD, and autism-related behavioral health services for Wythe County. DD waiver coordination, crisis services, and case management support Southwest Virginia families through this regional board.
Parent & family support
Parent groups, sibling programs, and family peer support.
Marion · multi-county
Autism Society of Virginia — Southwest Network (Smyth County)
The Autism Society of Virginia connects Smyth County families to SW Virginia peer support and statewide autism advocacy. Virtual programming is essential for this remote Appalachian county. Bristol, TN-VA area autism groups may also be accessible.
Lebanon · multi-county
Autism Society of Virginia — Southwest Virginia (Russell County)
The Autism Society of Virginia connects Russell County families to Southwest Virginia peer support networks and statewide resources. Bristol-area support groups and virtual programming are the most accessible options.
Advocacy & legal
Legal advocates, special education advocates, and disability rights organizations.
Alexandria · multi-county
PEATC — Parent Educational Advocacy Training Center
Virginia's federally funded PTI serves Smyth County families navigating Smyth County Schools. Free IEP advocacy, training, and direct support available statewide by phone and video.
FREE. Remote phone and video advocacy available — essential for SW Virginia families.
Lebanon · multi-county
PEATC — Virginia Parent Training & Information Center (Russell County)
Virginia's federally funded PTI provides free IEP advocacy and special education rights support for Russell County families navigating Russell County Public Schools in Southwest Virginia's coalfields region.
FREE. Virginia's federally funded PTI.
For providers
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Helpful guides
Guides for Smyth County families
Step-by-step help on the topics that matter most.
School & IEP
Navigating the IEP process
Your rights under IDEA, how evaluations work, and what every IEP section means.
Finding help
ABA, OT, speech and waitlists
How to find qualified providers, navigate insurance, and get off waitlists faster.
Getting started
Where to start after diagnosis
A week-by-week checklist for the first 90 days — from evaluation to early intervention.
Benefits & money
SSI, Medicaid waivers, ABLE accounts
Federal benefits your child may qualify for and how to apply without losing your spot.
Mental health
Co-occurring conditions and support
Managing anxiety, ADHD, and depression alongside an autism diagnosis.
Daily life
Sensory processing and OT
Understanding sensory needs, sensory diets, and how occupational therapy helps.
Adulthood
Employment, housing, legal planning
Supported employment, housing options, guardianship alternatives, and ABLE accounts.
See all Virginia resources
Waivers, PTI centers, and state programs apply to all families in Virginia.
Virginia state guide →Nearby counties in Virginia
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