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The Guidance Center

3111 South 70th Street Fort Smith, AR 72903
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The facilities at The Guidance Center - Horizon in Fort Smith, AR 2

About The Guidance Center

The Guidance Center, located in Fort Smith, Arkansas is a private alcohol and drug rehab that offers treatment for a variety of substance abuse addictions including co-occurring mental health disorders. They offer supervised medical treatment to safely manage withdrawal symptoms during detoxification, residential care providing long term support for addiction recovery, as well as flexible outpatient addiction therapy allowing patients to live at home while receiving regular treatment. Specialty rehab programs at The Guidance Center include tailored care focusing on women's specific needs and experiences, gender-specific addiction treatment addressing unique challenges faced by men, and age-appropriate treatment for teens addressing adolescent-specific issues. For recreation, patients can use the meditation room to promote mindfulness during recovery. The Guidance Center has received accreditations from CARF.

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Latest Reviews

Ridge Hickey
4 weeks ago on Google
5
Very friendly and accommodating staff
Response from the owner4 weeks ago
Your 5-star rating made our day—thank you! We’re proud to serve western Arkansas and will keep showing up for our community.”
Aurora Mondkind
1 month ago on Google
1
This place has some nice well intended people. However, they have committed medical malpractice against me. They gave me a med when I was out of my mind and didn’t know what was happening and they gave me a med on my allergy list because it affects my heart condition and could kill me. My outpatient doctor says I get prolonged qt in those meds and they had it on mg allergy list but ignored it and gave me the med when I could t consent. They also REFUSE to put down my real diagnosis that my outpatient therapist and psychiatrist gave me diagnosis with that I’m getting treatment for. They refuse to document my autism or did which I have a diagnosis for both. They won’t acknowledge my ADHD either. They diagnosed me with a psychotic disorder I don’t have and push antipsychotics on me when it hurts my hard and two I have permanent akithesia and will take Parkinson’s meds the rest of my life due to hospitals forcing Antipsychotics on me sometimes by holding me down and giving me a shot when I have a severe dissociative disorder and ptsd not schizophrenia. They insist on mis diagnosing me and when other facilities get those recorders I’m treated poorly. I’ve asked for my diagnosis to be updated and they refused. I am permanently damaged by antipsychotics and I will be filing a lawsuit. They also threw away my marijuana even though I was there in an emergency and couldn’t remove it from my purse . I have a valid medical card and they didn’t even document that they had it to hide that they threw it away. Being misdiagnosed by so many disorders has damaged my care severely. All they want to do is judge me and never should have convinced myself it was safe
Response from the owner4 weeks ago
Thank you for taking the time to share your experience. I want to first acknowledge the frustration you’ve described.
Part of our mission is to convey trust, instill confidence, and treat individuals we serve with dignity and respect. We are sorry you left feeling any other way.
Your feedback has been forwarded to our leadership team for review. We take your concerns extremely seriously.
Rizumufox
1 month ago on Google
1
Miscommunication and a headache
Response from the owner4 weeks ago
We’re very sorry to hear that your experience with us left you feeling frustrated. Miscommunication is never what we want for our clients, and we understand how stressful that can feel. Your feedback is important to us and will be shared with our team so we can improve the way we communicate and support those we serve.

If you are open to it, we’d like the chance to talk with you directly and better understand what happened. Please call Shea at 479-452-6650 so we can work with you toward a resolution.

Thank you for taking the time to let us know about your experience.
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Rehab Score

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Scoring is assigned by a proprietary system which helps surface key metrics that determine quality. The 10-point scale factors in categories such as operations, customer satisfaction, and trust metrics. Read Full MethodologyCaret icon
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6.3 / 10

Accepted Insurance

The Guidance Center works with several private insurance providers and also accepts private payments when possible, please contact to verify your specific insurance provider.

Other Forms of Payment

Private insurance refers to any kind of healthcare coverage that isn't from the state or federal government. This includes individual and family plans offered by an employer or purchased from the Insurance Marketplace. Every plan will have different requirements and out of pocket costs so be sure to get the full details before you start treatment.

Self-pay involves paying for treatment out of your own pocket. You can use savings or credit, get a personal loan, or receive help from family and friends to fund your treatment. If you don't have insurance or your insurance plan doesn't cover a specific program, self-pay can help ensure you still get the care you need.

Financial aid can take many forms. Centers may have grants or scholarships available to clients who meet eligibility requirements. Programs that receive SAMHSA grants may have financial aid available for those who need treatment as well. Grants and scholarships can help you pai for treatment without having to repay.

Sliding scale payments are based on a client's income and family size. The goal is to make treatment affordable to everyone. By taking these factors into account, addiction recovery care providers help ensure that your treatment does not become a financial burden to you or your family, eliminating one barrier to care.

Medicare is a federal program that provides health insurance for those 65 and older. It also serves people under 65 with chronic and disabling health challenges. To use Medicare for addiction treatment you need to find a program that accepts Medicare and is in network with your plan. Out of pocket costs and preauthorization requirements vary, so always check with your provider.

Medicaid is a state based program that helps lower-income individuals and families pay for healthcare. Medicaid covers addiction treatment so those enrolled can use their coverage to pay for rehab. When a program accepts Medicaid the client often pays very little or nothing out of their own pocket.

Addiction Treatments

Levels of Care

outpatient iconOutpatient

Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. The main difference between outpatient treatment (OP) and intensive outpatient treatment (IOP) lies in the amount of hours the patient spends at the facility. Most of the time an outpatient program is designed for someone who has completed an inpatient stay and is looking to continue their growth in recovery. Outpatient is not meant to be the starting point, it is commonly referred to as aftercare.

inpatient iconInpatient

Residential treatment programs are those that offer housing and meals in addition to substance abuse treatment. Rehab facilities that offer residential treatment allow patients to focus solely on recovery, in an environment totally separate from their lives. Some rehab centers specialize in short-term residential treatment (a few days to a week or two), while others solely provide treatment on a long-term basis (several weeks to months). Some offer both, and tailor treatment to the patient's individual requirements.

24-hour icon24-Hour Clinical Care

During many phases of addiction treatment, you'll need to receive 24-hour clinical care in Arkansas. This supervision ensures your safety during the detox process. Licensed medical professionals and experienced addiction specialists provide medication management, non-addictive medication to curb withdrawal symptoms, and frequent monitoring of vital signs.

medically-assisted-detox iconMedically Assisted Detox

The process of a medically assisted detox is when all addictive substances are removed from your body. Usually performed in an inpatient setting, you are under the 24/7 care of licensed medical medical professionals who keep you safe and comfortable during the detoxification. Medications are often administered to help alleviate potential withdrawal symptoms.The process can vary in length, but it typically takes 5-7 days.

Treatments

Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. Rehab and other substance abuse facilities treating those with a dual diagnosis or co-occurring disorder administer psychiatric treatment to address the person's mental health issue in addition to drug and alcohol rehabilitation.

Mental health rehabs focus on helping individuals recover from mental illnesses like bipolar disorder, clinical depression, anxiety disorders, schizophrenia, and more. Mental health professionals at these facilities are trained to understand and treat mental health issues, both in individual and group settings.

Alcoholism (alcohol use disorder) affects a person mentally, physically, and relationally. A person with alcohol dependence craves alcohol and has an impaired ability to control their alcohol consumption. They experience withdrawal symptoms if they stop alcohol use. Individuals with this condition can achieve recovery through treatment. Alcohol rehab in Arkansas offers inpatient and outpatient options that provide counseling, support groups, and medication to help individuals overcome alcohol addiction and maintain recovery.

The goal of drug rehab in Arkansas is to help individuals stop using addictive substances and learn healthy ways to remain clean long-term. Participants learn vital skills to cope with cravings and manage stress, to prevent relapse.

opium iconOpioid Addiction

Programs

adult-program thumbnail image

Adult Program

Adult rehab programs include therapies tailored to each client's specific needs, goals, and recovery progress. They are tailored to the specific challenges adult clients may face, including family and work pressures and commitments. From inpatient and residential treatment to various levels of outpatient services, there are many options available. Some facilities also help adults work through co-occurring conditions, like anxiety, that can accompany addiction.

Clinical Services

Group therapy is any therapeutic work that happens in a group (not one-on-one). There are a number of different group therapy modalities, including support groups, experiential therapy, psycho-education, and more. Group therapy involves treatment as well as processing interaction between group members.

In individual therapy, a patient meets one-on-one with a trained psychologist or counselor. Therapy is a pivotal part of effective substance abuse treatment, as it often covers root causes of addiction, including challenges faced by the patient in their social, family, and work/school life.

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person's life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Research clearly demonstrates that recovery is far more successful and sustainable when loved ones like family members participate in rehab and substance abuse treatment. Genetic factors may be at play when it comes to drug and alcohol addiction, as well as mental health issues. Family dynamics often play a critical role in addiction triggers, and if properly educated, family members can be a strong source of support when it comes to rehabilitation.

Developing life skills while undergoing rehab treatment in Arkansas is a crucial part of your recovery. During treatment, you may focus on learning communication skills, critical thinking skills, problem solving, self awareness, assertiveness, and coping skills.

Combined with behavioral therapy, nicotine replacement therapy can be an effective way to stop smoking. A variety of therapies are available. Some you can get over the counter, while others require a prescription from your doctor.

One of the most common types of psychotherapy, cognitive behavioral therapy in Arkansas is an effective tool for the treatment of substance use disorder. It is a common therapeutic method that is used to treat a variety of mental and behavioral health challenges.

Accreditations

The Commission on Accreditation of Rehabilitation Facilities (CARF) is a non-profit organization that specifically accredits rehab organizations. Founded in 1966, CARF's, mission is to help service providers like rehab facilities maintain high standards of care.

CARF Accreditation: Yes

Contact Information

Building icon

3111 South 70th Street
Fort Smith, AR 72903

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Reviews of The Guidance Center

2.5/5 (93 reviews)
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Reviews

Overall Experience
Date Submitted
Reviewer

Google Reviews

2.5 (93 reviews)
Timothy Hardy
3 weeks ago
4

This was a great place for me. To get the attention i needed. They were able to get me to sleep comfortably. And got my medications adjusted and helped me get into an insurance that i could afford. My only complaint is I have had trouble with the following up. I was hoping to get a pcp in their network.

Response from the owner
Timothy, Thank you for sharing your feedback. We’re glad our team was able to help you get the care, comfort, and insurance support you needed. We apologize for the difficulty with follow-up and connecting to a primary care provider. Please contact us at (479) 452-6650 (you can ask for Shea) so we can assist further. We appreciate your comments as we continue to improve our services.
Ridge Hickey
4 weeks ago
5

Very friendly and accommodating staff

Response from the owner
Your 5-star rating made our day—thank you! We’re proud to serve western Arkansas and will keep showing up for our community.”
Sierra Grant
1 month ago
5

Response from the owner
Thank you for the 5-star review! At The Guidance Center, we’re committed to compassionate, whole-person care—and your rating means a lot to our team.
Aurora Mondkind
1 month ago
1

This place has some nice well intended people. However, they have committed medical malpractice against me. They gave me a med when I was out of my mind and didn’t know what was happening and they gave me a med on my allergy list because it affects my heart condition and could kill me. My outpatient doctor says I get prolonged qt in those meds and they had it on mg allergy list but ignored it and gave me the med when I could t consent. They also REFUSE to put down my real diagnosis that my outpatient therapist and psychiatrist gave me diagnosis with that I’m getting treatment for. They refuse to document my autism or did which I have a diagnosis for both. They won’t acknowledge my ADHD either. They diagnosed me with a psychotic disorder I don’t have and push antipsychotics on me when it hurts my hard and two I have permanent akithesia and will take Parkinson’s meds the rest of my life due to hospitals forcing Antipsychotics on me sometimes by holding me down and giving me a shot when I have a severe dissociative disorder and ptsd not schizophrenia. They insist on mis diagnosing me and when other facilities get those recorders I’m treated poorly. I’ve asked for my diagnosis to be updated and they refused. I am permanently damaged by antipsychotics and I will be filing a lawsuit. They also threw away my marijuana even though I was there in an emergency and couldn’t remove it from my purse . I have a valid medical card and they didn’t even document that they had it to hide that they threw it away. Being misdiagnosed by so many disorders has damaged my care severely. All they want to do is judge me and never should have convinced myself it was safe

Response from the owner
Thank you for taking the time to share your experience. I want to first acknowledge the frustration you’ve described.
Part of our mission is to convey trust, instill confidence, and treat individuals we serve with dignity and respect. We are sorry you left feeling any other way.
Your feedback has been forwarded to our leadership team for review. We take your concerns extremely seriously.
Rizumufox
1 month ago
1

Miscommunication and a headache

Response from the owner
We’re very sorry to hear that your experience with us left you feeling frustrated. Miscommunication is never what we want for our clients, and we understand how stressful that can feel. Your feedback is important to us and will be shared with our team so we can improve the way we communicate and support those we serve.

If you are open to it, we’d like the chance to talk with you directly and better understand what happened. Please call Shea at 479-452-6650 so we can work with you toward a resolution.

Thank you for taking the time to let us know about your experience.
Marsha
1 month ago
1

They gave my daughter medicine that never worked before, but yet they kept her on it and expect it to be her cure. Her therapist was a nice person. But not enough work was put into her. I'm disappointed with medical community and hospitals, they forgot to help her.

Response from the owner
Marsha, Thank you for sharing this. Your feedback helps us improve, and we want your family to feel heard and cared for. Because we respect your family’s privacy, we can’t discuss details here. If you’re willing, we’d really like to review what happened, explore alternatives, and see how we can better support your daughter. Please contact our office and ask for Shea. She is the Office Manager. Alternatively, you may email her at Shea.brown@wacgc.org. We are truly sorry to hear about your daughter’s experience.
Jenny
1 month ago
4

Response from the owner
Jenny, Thank you for your review. This is very helpful for people when they are needing to reach out to a behavioral health provider. If there is anything we could have done differently to improve your rating, we would love to hear more from you about it.
Elle Dub
1 month ago
1

Unreal. Told them I needed a REAL PSYCHIATRIST to manage a unique medical condition requiring stimulants. New to Ark, and Specifically asked, "If you guys can't do adult stimulant management, I understand -- but tell me now!" Yes, we do that. "Like, are you sure??" Also asked if I'd be seeing a PSYCHIATRIST -- I need someone who can understand and manage a complex medical condition. I thought I was going to be seeing said MEDICAL DOCTOR PsyCHIATrist. Well, we have a medical doctor... but kept being assured nurse practitioners can rx. "Ok, cuz I don't want to hear, 'we can't rx over video-visits' -- Nope, just dragged me thru the whole process, made it clear at intake what I needed -- came armed with a decade of medical & psychiatrist records on my **unusual condition**, and they feed me thru to a NP on video chat who --never sees even a screenshot of it-- and says, sorry, we don't rx for adults. Not only 2 weeks of wasted time, waiting, taking off work, but jeopardizing my job bcs I can't do it if I can't stay awake & process information. Just say, "WE CAN'T HELP YOU WITH THAT" instead of wasting people's time & energy. I was completely clear with intake. Not acceptable.

Response from the owner
We’re sorry to hear about your experience and the frustration it caused. Clear communication about what services we can and cannot provide is very important, and we regret that this was not your experience. Your feedback will be used to improve our processes. If you’d like to discuss this further, please contact us at 479-452-6650 and ask for Shea.Our goal is always to provide transparency about what services we can and cannot offer, and it’s clear we fell short in this case.
Sherry Lentz
2 months ago
1

We brought my son here last year with a referral for counseling. He did an intake and we were told we would be contacted to schedule him to see a therapist. I do not know why it could not be done that day. They never called. We called and were told we would be called back. We were not. We called again. They still didn’t have a therapist to schedule him with but we would be called. We never were. My son said to forget about it. We came here last week from the ER with another child. Everyone was so much nicer than the first time we came. We were scheduled for an intake the next day with a therapist we told was perfect for our situation. We came back the next day and waited half an hour and someone came out to tell us that we needed to reschedule. No explanation. We asked to get in today and they made it happen. We were grateful. We came in today and had the unfortunate experience of having to do telemedicine from a cubicle where we could hear other patients also talking but we carried on. We couldn’t make out conversation once we went in and closed the door so not a big deal. The therapist was sick and apologized but it the impersonal use of a webcam to talk about private and hard to talk about subjects made it awkward. Covid is done and medicine should be face to face. Just an opinion and I realize many may disagree. The appointment ended and we were told to go to the desk to schedule an appointment and get a note for school. After waiting for more than an hour, we went to the counter to find out if the note was ready. We were told that the lady we were waiting for was the manager and that she was doing a job interview. No one knew how long it would take so I asked to leave to go to work. I was told that she would call me. By 345. I was concerned about the time so I called. I was sent straight to voicemail. I drove down and had the very unpleasant Experience of dealing with her again. She was unable to give me the note that we needed and asked me if this note was OK. I said that I thought it would have to do. I’m not sure why the business manager would be running the front counter because her very business like manner is probably great for running the office, but is certainly lacking and compassion in dealing with family members who are in crisis. When I asked her why she left us sitting without communication she told us that it was because she was waiting to hear from the therapist and they were in another appointment. Rather than taking the time to let us know that and allowing us to leave so that she could catch us up later, she opted to go do a job interview and be gone for well over an hour. I don’t actually know when she came back because we had already left. When I told her what I thought of this and tried to express how much it appeared that we were not in any way a priority for her, the conversation disintegrated. I simply wanted some advice from her on how to proceed. After all, she is the manager and does this for a living while I am a parent, struggling to understand the process. I realize that my heightened emotion, my devastation for my son and his mental health and the fact That I have been given the runaround between the schools, the hospital and this clinic made me come off as rude. I was nearly in tears the entire time we were speaking because my son means the world to me. I realize that we mean nothing to her. After all, she doesn’t even know us. The sad fact is that she gets paid a lot of money to pretend that she cares but that she could not muster up that act today. If her own mental health is in crisis today, and I apologize for this review. I will not have to deal with her again because she was very clear that I was not to speak to her again. She tried to send me away without making an appointment for my son, but I insisted he get one because that is why we are here. She turned me over to someone named Matt and told me that in the future to deal with him. This is what we will do unless we can find another therapist. I do not recommend this clinic.

Response from the owner
Thank you for sharing your experience. We’re truly sorry for the frustrations and delays you encountered and that we fell short of providing the support and communication your family needed. While we’re glad you met staff who showed kindness, we recognize that your overall experience was not what it should have been.

Your feedback is being taken seriously and will be used to improve our processes and communication with families. Because this involves specific details about your child’s care, we’d like the opportunity to speak with you directly. Please reach out to me at sylvia.hickey@wacgc.org so I can listen, address your concerns, and work toward restoring your trust.

Your family’s well-being is very important to us, and we appreciate you bringing this to our attention.
Cooper
2 months ago
1

My main gripe is the fact that the weekend staff stole my iPhone charger. I happened looked over the station to the right and saw one that looked EXACTLY LIKE MINE. However I thought it might be coincidence, thought when I unpacked my bag after being discharged it was gone. Staff should be ashamed and held accountable. This is not acceptable nor professional. Nothing about this facility is sanitary or professional. Find anywhere else to fine reprieve and rehabilitation.

Response from the owner
Cooper, Thank you for sharing your concerns. We're very sorry to hear about your experience. Please know we take issues of professionalism, cleanliness, and respect for our clients' belongings very seriously. We'd appreciate the chance to speak with you directly so we can better understand what happened and address your concerns. Please contact me directly at 479-883-6005 or sylviahickey0624@gmail.com.
Ruthie
3 months ago
3

I gave this place a 3 star bcuz whn you call and ask for help, they put you through 20 dfferent types of voice-mail tht don't return ur call till 24 to 48 hours later , with the exception of a. few of the people thts communicating between the client and the psychological perfessional or perfessionals in thtat facility, although its a * Guidence Center* for people who are or may be going thru a psychological episode or something related to that situation, , they tell you to call them in emergency and non emergency situations, and whn you call no one is available to talk to you,* some of them , not all * with the exception of the crisis person, "Shane" ,and some of the front desk staff,, "He is amazing " very humble and takes time out his busy scheduleto take ur call and listen whn no one else will., I'm speaking from 'MY' experience, outside of that its a great place for guidence and counseling, I repeat " My Opinion and my experience from going to this place for x amount of time .

Response from the owner
Ruthie, please reach out to sylviahickey0624@gmail.com so we can further discuss your experience. Please allow us the opportunity to see where we failed In making it easy to seek help. We want to learn from you. It is important that people reach help easily when they are In need. We highly value all our clients and their mental health needs.
becca clark
4 months ago
1

As someone living with both mental health conditions and a rare disease (Ehlers-Danlos Syndrome), I’ve had a wide range of experiences in the mental health care system. My journey has included moments of hope, healing, and heartbreak—all of which came to a head during a recent experience with Western Arkansas Counseling and Guidance Center (WACGC). I want to begin by acknowledging the dedication of so many providers within the system. The therapists, nurses, and caseworkers I encountered at WACGC were doing their best under enormous pressure. Mental health professionals are often overworked and undercompensated, and it shows—not in a lack of care, but in a lack of capacity. This is not just a WACGC issue—it’s a systemic issue, and one we must collectively address. That said, my experience at WACGC also revealed some deeply painful gaps. I went from being perceived as a “least difficult” patient to suddenly being viewed as the “most difficult”—a shift that happened during a time of crisis when I needed the most compassion. I was discharged while tapering off psychiatric medications, despite expressing concerns about complex medical side effects from my rare disease. Unfortunately, those concerns were minimized, and my emotional distress was treated as a barrier to care rather than a signal for deeper support. I wasn’t just a patient—I was a person in pain, trying to communicate through trauma and neurodivergence. But in a system not equipped to receive that vulnerability, my voice felt silenced. What I needed—and what many others need—is a safe environment where it’s okay not to have the perfect words, tone, or composure in a moment of breakdown. When patients are struggling to survive, we shouldn't be required to also perform politeness or perfection in order to receive care. This experience left me not just grieving the care I lost, but grieving for all those who may not speak up. People like me—living with comorbid conditions, trauma histories, and rare diseases—deserve to be seen and heard. We deserve a care model that accounts for our complexities, not one that punishes us for them. Despite these challenges, I still believe in the mission of WACGC. I believe in the heart of many of the providers there. But I also believe it’s time to evolve—to integrate trauma-informed practices, neurodivergent-affirming approaches, and to create more supportive transitions, especially around medication changes and discharge planning. I’m not writing this review to place blame. I’m writing it to advocate for change. As Miss Petite USA 2025 Arkansas Titleholder, I’m committed to speaking out for those who feel invisible in systems that were meant to help them. My hope is that WACGC and similar organizations can lead the way in improving the quality of care—not just for the easy moments, but for the hardest ones too. Let this be an invitation: to listen, to grow, and to make every patient feel like they matter. Because we do. With compassion and hope, Becca Clark

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