A Hoarding Alliance local resource guide

Hoarding support in Middlebourne, West Virginia.

You deserve support that begins with what matters to you. You can start with a question, a conversation, or one manageable next step.

People first.Then the stuff.A Fight the Blight initiative

Start here - Fight the Blight

Begin with what would feel helpful now

Fight the Blight is the nonprofit front door and offers virtual peer-support groups; ask about current fit and capacity from Middlebourne or elsewhere. The Peer Tree is a separate private-pay pathway; confirm scope, service area, availability, and fees. Unburied is a digital peer-support pathway, not therapy or emergency support. Local listings are independent options, not endorsements; confirm access, eligibility, cost, and fit directly.

For immediate danger

For immediate danger, fire, rescue, or urgent medical response, call 911. For emotional distress or a behavioral-health crisis, call or text 988 or contact Westbrook's 24/7 crisis line. WV 211 can help identify current basic-needs referrals but cannot guarantee a bed or assistance. Protective-services reporting is for suspected abuse or neglect, not a routine hoarding or cleanup referral.

First conversations

A few good places to start

You do not need to know the perfect service name before reaching out. These organizations can help you understand the landscape and identify a next step.

Role: private-pay hoarding-related support; geography: confirm service area; cost/eligibility: private pay, ask for current fees and fit; emergency limit: not emergency care.

The Peer Tree

A separate private-pay pathway for hoarding-related support. Ask directly about scope, location, availability, travel, and current fees before making plans. This is distinct from Fight the Blight's nonprofit programming and is not emergency care.

Role: digital peer support for people and supporters; geography: online; cost/eligibility: confirm current access and terms; emergency limit: not therapy or emergency support.

Unburied

Unburied is a digital peer-support pathway for people affected by hoarding and clutter concerns and for friends and family. It supports connection and ongoing peer support, not therapy, emergency response, or local case management.

Role: statewide basic-needs information and referrals; geography: Tyler County and West Virginia; cost/eligibility: call or online search; carrier text/data charges may apply and provider rules vary; emergency limit: not dispatch or guaranteed aid.

West Virginia 211

Call 211 or text a ZIP code to 898-211 to ask about current food, housing, utility, transportation, health, and family-service options in Tyler County. You can also search online. Local openings and eligibility vary; a referral does not guarantee assistance or placement and is not emergency dispatch.

Safety and stability

When the concern involves safety, housing, or crisis

These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve crisis care, protective services, shelter, housing rules, legal advocacy, or emergency dispatch.

Role: police, fire, rescue, or urgent medical dispatch; geography: Middlebourne, Tyler County, and the United States; cost/eligibility: ambulance and follow-up charges may vary; emergency limit: immediate danger or urgent response.

Immediate emergency response

Call 911 for immediate danger, fire, rescue, or urgent medical response. Tyler County E911 dispatches local first responders. If it is safe, explain what response would help and share access, mobility, or communication needs. Routine county offices and referrals are not emergency dispatch.

Role: central dispatch and non-emergency contact information; geography: Tyler County; cost/eligibility: phone contact, service and response fees may vary; emergency limit: call 911, not this number, for immediate danger or urgent response.

Tyler County E911 non-emergency contact

Tyler County E911 lists 304-758-4275 for non-emergency calls and says the center dispatches county fire, EMS, and law-enforcement agencies. The number is not a substitute for 911 during an emergency and is not a hoarding-support referral line.

Role: voluntary behavioral-health and substance-use crisis support; geography: Westbrook's eight-county catchment, which includes Tyler County; cost/eligibility: ask about service and any fees; crisis line listed 24/7; emergency limit: call 911 for immediate physical danger or urgent medical response.

Westbrook Health Services Crisis Division

Westbrook lists 24/7 call and text crisis support, adult and children's mobile crisis, and service in Tyler County. Call or text 304-485-1725, or call 800-579-5844. Confirm whether mobile or follow-up support is available at your location. This is not a hoarding-specific provider listing, and its public page does not confirm a Tyler County walk-in office.

Role: emotional-distress and behavioral-health crisis support; geography: statewide West Virginia; cost/eligibility: free and confidential; emergency limit: call 911 for immediate danger, fire, or urgent medical response.

988 West Virginia

Call or text 988, or use online chat, for emotional distress or a behavioral-health crisis. WV988 describes the service as free, confidential, and available around the clock. It is not fire, medical, or law-enforcement dispatch; call 911 for immediate danger or urgent medical response.

Role: behavioral-health and substance-use information, support, and referrals; geography: statewide West Virginia; cost/eligibility: call/text/chat access listed 24/7; carrier charges may apply; emergency limit: not emergency dispatch.

Help4WV

Help4WV lists call, text, and chat support at 1-844-435-7498, 24 hours a day, for behavioral-health and substance-use questions and connections. Email is not monitored around the clock. Call 911 for immediate danger or urgent medical response.

Role: confidential information and safety planning; geography: nationwide, including West Virginia; cost/eligibility: call, text, and chat options are offered without a listed fee; emergency limit: not emergency dispatch or shelter-placement guarantee.

National Domestic Violence Hotline

If it is safe to reach out, call 1-800-799-SAFE (7233), text START to 88788, or use online chat to discuss relationship abuse and safety options. The hotline cannot guarantee shelter placement. Consider whether a shared device, account, or phone bill is safe to use.

Role: centralized intake for reports of suspected child or vulnerable-adult abuse or neglect; geography: statewide, including Tyler County; cost/eligibility: public reporting line, no fee stated; emergency limit: not a routine clutter referral or 911 dispatch.

West Virginia DoHS abuse and neglect reporting

West Virginia DoHS lists 1-800-352-6513 for reports of suspected child or adult abuse or neglect, including 24/7 reporting. This is a protective-services reporting channel and may trigger assessment or investigation; it is not a voluntary hoarding-support, cleanup, or ordinary service-navigation line. Call 911 for immediate danger.

Role: local emergency preparedness and floodplain information; geography: Tyler County; cost/eligibility: office contact, permit rules or fees may apply; emergency limit: contact page is not monitored for emergencies; dial 911.

Tyler County Office of Emergency Management

The County OEM publishes floodplain information, preparedness resources, and an office contact at 504 Cherry Street in the Senior Center. Call 304-758-5155 before visiting; the office asks visitors to call first. Its web form is not for urgent messages, and it does not replace 911 or emergency-response crews.

People and practical help

Housing, food, care, transportation, and ongoing support

These listings connect the local community with housing, food, behavioral health, benefits, transit, survivor advocacy, disability support, peer support, and practical resources. Ask about current availability, cost, scope, consent, and safety before relying on them.

Role: searchable basic-needs and community-service directory; geography: Tyler County and statewide; cost/eligibility: search is open, providers set their rules and availability; emergency limit: listings do not guarantee openings or placement and are not dispatch.

West Virginia 211 online search

Search by Middlebourne, Tyler County, or ZIP code for current food, housing, utilities, health, transportation, family, and other referrals. Service-area rules and details can change; confirm hours, eligibility, cost, and openings with each provider before traveling.

Role: behavioral-health, substance-use, developmental, and related services; geography: provider reports Tyler County in its service region; cost/eligibility: insurance, intake, and sliding-fee details must be confirmed; emergency limit: routine services are not emergency dispatch.

Westbrook Health Services outpatient behavioral-health services

Westbrook describes behavioral-health and related services across its region, including Tyler County. Its public crisis page does not establish a Tyler County walk-in office; call to ask about current service format, local availability, insurance, fees, and intake. No hoarding-specific treatment is verified by this listing.

Role: public-health services, immunizations, environmental-health information, and scheduled programs; geography: Wetzel and Tyler Counties; cost/eligibility: services, appointments, and fees vary; emergency limit: routine public-health services, not urgent care or dispatch.

Wetzel-Tyler Health Department

The health department states that it serves both counties and lists vaccinations, environmental-health information, and scheduled programs. Its main office is in New Martinsville, not Middlebourne; call 304-337-2001 before traveling to confirm the current Tyler County service location, appointment, insurance billing, and fee. The posted lab bundle is $40 and states that insurance is not billed; confirm current fees directly.

Role: federal locator for community health centers; geography: search Middlebourne and nearby communities; cost/eligibility: each clinic sets intake, insurance, and sliding-fee rules; emergency limit: locator is not urgent care or dispatch.

HRSA Find a Health Center

Use the federal locator to search for community health centers near Middlebourne, then call the clinic to confirm that it is currently open, accepting new patients, accessible, and a fit for the service needed. The locator does not establish a specific Tyler County clinic or guarantee an appointment; call 911 for a medical emergency.

Role: county department and public-office navigation; geography: Tyler County; cost/eligibility: records, permits, and some services may have fees; emergency limit: administrative contacts are not dispatch.

Tyler County government directory

The County Commission's site links county offices and posts current notices about office relocations. It identifies the county seat as Middlebourne but lists different addresses for different offices; check the specific office page and call before traveling. County services are independent public offices, not a Hoarding Alliance program.

Role: county records, deeds, vital-record and estate/probate processes; geography: Tyler County; cost/eligibility: document and filing fees may apply; confirm the exact fee and required documents; emergency limit: office is not legal advice or emergency response.

Tyler County Clerk

The County Clerk lists its public office at 350 Park Avenue, Middlebourne, phone 304-758-2102, extension 3. The office handles records and estate/probate functions; appointment rules and document requirements vary. Call before travel and ask about current fees. The Clerk's office cannot provide legal representation.

Role: property assessment, property records, and related taxpayer information; geography: Tyler County; cost/eligibility: public-office questions, with deadlines or fees possible for specific filings; emergency limit: not legal, financial, or emergency advice.

Tyler County Assessor

The Assessor lists an office at 350 Park Avenue, Middlebourne, phone 304-758-4781, extension 1, with weekday public hours. It handles property assessment and related records; call to confirm office hours, homestead or appeal deadlines, required documents, and any cost before making a trip.

Role: real-estate and personal-property tax collection and listed vehicle-registration services; geography: Tyler County; cost/eligibility: taxes, records, renewals, or other transactions have applicable costs; emergency limit: tax administration contact, not a hoarding-support or emergency pathway.

Tyler County Sheriff Tax Office

The County lists this tax office at 350 Park Avenue, Middlebourne, phone 304-758-2828. Its published duties include real-estate and personal-property tax collection and some vehicle-registration renewals. Call to confirm the service, due date, payment methods, and current charges; this listing is for tax-office functions, not crisis or support services.

Role: circuit and magistrate court contact information; geography: Tyler County; cost/eligibility: filing and record fees may apply; court staff do not provide legal representation; emergency limit: court administration is not emergency dispatch.

Tyler County court and magistrate contacts

The West Virginia Judiciary lists Tyler County as part of the Second Judicial Circuit and publishes contact details for circuit and magistrate courts. County and Judiciary pages show different recent circuit-clerk locations; call the number on the Judiciary page before any in-person visit. Court personnel can explain process but cannot serve as a person's attorney.

Role: floodplain-management information and permit navigation; geography: Tyler County; cost/eligibility: permit requirements and fees depend on the work and parcel; emergency limit: not flood rescue, emergency remediation, or a cleanup contractor.

Tyler County floodplain and building-safety information

Tyler County OEM publishes floodplain information and links to the state flood-hazard determination tool. Before construction, repair, or site work, ask the County about the parcel, permits, current fees, and which office handles the question. This is a planning and permitting contact, not a property-inspection or emergency-response promise.

Role: county office for state health and human-service program access; geography: Tyler County; cost/eligibility: each benefit has separate application and eligibility rules; emergency limit: routine office is not 911 or same-day assistance guarantee.

Tyler County Department of Human Services office

The state directory lists the Tyler County DoHS office at 210 Main Street, Middlebourne, phone 304-758-2127, weekdays 8:30 a.m.–5 p.m. Ask which program handles your need, whether an appointment is required, and what documents to bring. Some state office listings distinguish general benefits from child-support-specific contacts, so confirm the correct unit before traveling.

Role: state portal to apply for and manage listed health and human-service benefits; geography: West Virginia residents; cost/eligibility: program-specific eligibility and documentation apply; emergency limit: online application is not urgent response or guaranteed approval.

WV PATH benefits application

WV PATH is the state's portal for benefit applications and account access, including programs such as SNAP, Medicaid, and energy assistance. Eligibility, application steps, and processing times vary by program. Use the Tyler County DoHS office if you need help identifying the right program; an application is not an approval or emergency payment.

Role: state customer-service navigation for health and family assistance programs; geography: statewide West Virginia; cost/eligibility: phone information line, program eligibility varies; emergency limit: not 911, crisis response, or benefit approval.

West Virginia DoHS benefit questions

The Department lists 1-877-716-1212 for benefit questions and changes, alongside separate contact paths for other concerns. Ask which office or application channel fits the question. The line does not guarantee eligibility or immediate assistance; call 911 for immediate danger.

Role: search for listed regulated child-care providers; geography: search Tyler County or ZIP code; cost/eligibility: providers set fees and enrollment; subsidy eligibility is separate; emergency limit: directory does not guarantee an open place.

West Virginia child-care provider locator

The Bureau for Family Assistance links families to a child-care provider search. Contact each provider to confirm current opening, age range, location, licensing status, cost, hours, accessibility, and whether it accepts subsidy payments. Search results do not guarantee enrollment or child-care assistance eligibility.

Role: family resource navigation and local information; geography: Tyler County; cost/eligibility: ask about current program scope and any rules; emergency limit: not emergency shelter, protective investigation, or clinical care.

Tyler County Family Resource Network

WVFRN's Tyler County page currently lists a local contact and links to a resource guide labeled as a working 2025 guide. Call Jill Ash at 304-771-0530 to ask what programs, hours, eligibility, and locations remain current. Treat the older guide as a navigation lead, not a promise that a past schedule or service is still operating.

Role: public-school district information, enrollment, student support, and nutrition program navigation; geography: Tyler County; cost/eligibility: school, meal, and student-service rules vary; emergency limit: school administration is not emergency care or child-protection intake.

Tyler County Public Schools

Tyler County Schools posts district contacts, enrollment information, student services, and school nutrition updates. The central office is listed at 114 Dodd Street, Middlebourne, phone 304-758-2145. Families should confirm current eligibility, application steps, school schedules, and meal-program rules directly.

Role: research-based education in agriculture, families, food, gardening, 4-H, and community development; geography: Tyler County office in Middlebourne; cost/eligibility: registration and materials fees vary; emergency limit: education service, not health care or emergency repair.

WVU Tyler County Extension

WVU Extension lists its Tyler County office at 311 Main Street, Middlebourne, phone 304-758-2101, weekdays 8 a.m.–4 p.m. It offers local information about 4-H, agriculture and natural resources, family and community development, and other research-based programs. Ask whether a current program is open and whether registration or materials cost anything.

Role: public library, learning, computer, and Wi-Fi access; geography: Middlebourne and Tyler County; cost/eligibility: free Tyler County card for residents with valid ID/address; some replacement or printing charges may apply; emergency limit: not emergency response.

Tyler County Public Library

The Library lists 300 Broad Street, Middlebourne, phone 304-758-4304, and publishes current weekly hours on its site. Tyler County residents can request a free library card with valid ID and current address; public computers and Wi-Fi are available. Ask about printing charges, accessibility, hours, and service rules before a visit.

Role: local older-adult service contact and referral point; geography: Tyler County; cost/eligibility: current rides, meals, programs, and criteria must be confirmed; emergency limit: routine aging services, not emergency transport or dispatch.

Council of Senior Tyler Countians

Belomar's current regional service-provider directory lists the Council of Senior Tyler Countians at 504 Cherry Street, Middlebourne, phone 304-758-4919. Call to ask which aging, nutrition, social, or transportation services are operating now and confirm age rules, days, fees or contributions, access, and how to enroll. Older regional service plans are not a current schedule guarantee.

Role: information and referral for older adults and people with disabilities; geography: statewide West Virginia; cost/eligibility: linked programs set age, disability, income, assessment, and waitlist rules; emergency limit: not emergency response or guaranteed in-home care.

West Virginia Aging and Disability Network

West Virginia's aging and disability network can help people ask about local options and program pathways. The state Aged and Disabled Waiver page lists 1-866-981-2372 for network information. Ask about current Tyler County contacts, eligibility, assessment, costs, provider capacity, and wait times; a referral is not an approval.

Role: scheduled rides to covered medical services; geography: eligible West Virginia Medicaid and WVCHIP members; cost/eligibility: benefit and scheduling rules apply; emergency limit: not a public-transit system or ambulance for emergencies.

West Virginia Medicaid non-emergency medical transportation

The Bureau for Medical Services says eligible Medicaid and WVCHIP members can request non-emergency transportation to covered services through the statewide broker. Confirm eligibility, advance notice, trip approval, pickup location, and current booking instructions with the broker. This does not establish general transportation for errands or non-covered trips; use 911 for emergencies.

Role: Medicaid home- and community-based long-term support pathway; geography: statewide West Virginia; cost/eligibility: financial, medical, functional, assessment, and program-capacity requirements apply; emergency limit: not urgent caregiving or cleanup.

West Virginia Aged and Disabled Waiver

The state describes ADW as an option for eligible adults who meet Medicaid financial criteria and an assessed nursing-facility level of care, among other program rules. Read current qualifications and ask DoHS or the program about the assessment, application, provider availability, and wait time. A web inquiry is not approval or immediate home support.

Role: civil legal information and possible representation; geography: statewide, including Tyler County; cost/eligibility: services are free to accepted clients, subject to intake and case criteria; emergency limit: not criminal defense or guaranteed immediate counsel.

Legal Aid of West Virginia

Legal Aid WV accepts applications online and by phone for eligible civil legal matters. Its site currently lists 866-255-4370 and says services are free to clients, although some court filing fees may still apply. The Wheeling office listing notes it is moving and closed to the public during the move; use phone or online intake and do not travel without confirming. For an imminent deadline, call rather than relying on an online form.

Role: free civil legal information and possible assistance for older adults; geography: West Virginia residents age 60 and older; cost/eligibility: initial age and residency criteria apply; emergency limit: not criminal defense, walk-in service, or guaranteed representation.

West Virginia Senior Legal Aid

West Virginia Senior Legal Aid says initial eligibility is for state residents age 60 or older with a civil, non-criminal legal issue. Call 800-229-5068 or use its request page; the organization says it cannot accept walk-ins, so do not travel without an appointment. Ask about current intake and scope.

Role: federal housing, homelessness, rental, homeownership, and counseling navigation; geography: statewide West Virginia; cost/eligibility: housing programs and counselors have separate rules, fees, waitlists, and openings; emergency limit: HUD is not a direct shelter or placement provider.

HUD West Virginia housing information

HUD's West Virginia page links renter, homeowner, housing-counseling, and homelessness resources. HUD advises people at risk of homelessness to call 211 and ask for homeless-services referrals. Programs have individual eligibility and availability; this directory does not guarantee shelter, a rental, or housing placement.

Role: locator for food-bank partners and food distributions; geography: search Tyler County or ZIP code; cost/eligibility: food programs may be free but local requirements vary; emergency limit: locator does not guarantee same-day food or an open distribution.

Food access search

Feeding America's locator lets people search by ZIP code for a regional food bank and its partner distributions. Call the local provider to confirm current hours, location, eligibility, household limits, and what to bring before traveling. WV 211 can also search additional basic-needs referrals.

Role: municipal office, local-service, and utility-account navigation; geography: Middlebourne town limits; cost/eligibility: municipal service and account fees vary; emergency limit: City Hall is not emergency dispatch.

Town of Middlebourne City Hall

The Town lists City Hall at 211 Stealey Street, phone 304-758-4771, weekdays 8 a.m.–4 p.m. with a lunch closure from noon to 1 p.m. Call first to identify the right department and confirm hours, service-area rules, accessibility, and fees. Use 911 for emergencies.

Role: municipal water/sewer connection and account setup; geography: properties served within Town utility territory; cost/eligibility: new tap minimums are listed as $265 water and $300 sewer or actual parts and labor; emergency limit: not emergency water delivery or financial assistance.

Middlebourne water and sewer new-service information

The Town's customer page says new customers need photo identification and an application. It lists minimum water and sewer tap fees, but actual parts and labor can raise the cost. Confirm that the property is within the service area, current fees, deposits, permits, and application steps directly before scheduling work.

Role: Town water/sewer account billing questions; geography: Middlebourne utility customers; cost/eligibility: Town posts a 10% late penalty and $50 reconnect fee for each discontinued service; confirm current account details and payment-processor charges; emergency limit: not shutoff prevention or emergency assistance.

Middlebourne utility billing and payment options

The Town says monthly utility bills are due by the 20th and lists penalties and reconnection charges. If a bill, payment, shutoff date, or fee is unclear, call the billing clerk at 304-758-4771 before taking action; payment platforms can add separate processing fees. The page does not promise payment plans or assistance.

Role: opt-in municipal texts about Town information and notices; geography: Middlebourne; cost/eligibility: text/data charges may depend on the mobile plan; emergency limit: alerts are not emergency dispatch or guaranteed real-time warning.

Middlebourne TextMyGov alerts

The Town says residents can text MIDDLEBOURNE to 91896 and reply YES to opt in; STOP opts out. The Town may send information about water/sewer service, events, and road closures. Do not rely on these messages instead of 911, weather alerts, or direct utility contact.

Role: state job-search, employment, and workforce-office navigation; geography: statewide, including Tyler County job seekers; cost/eligibility: services and training criteria vary; emergency limit: not emergency income or placement guarantee.

WorkForce West Virginia career services

WorkForce WV publishes job-seeker resources and a local-office directory. Search online for current jobs and training, then confirm whether an in-person Tyler County option exists, what appointment is needed, and whether a program has eligibility or fees. No Tyler County walk-in office or job opening is guaranteed by this link.

A note from the Alliance

Start with the person. Then decide what the situation needs.

This guide is anchored in Middlebourne, West Virginia, and includes city, county, state, nonprofit, national, and independent pathways. A listing here does not mean Fight the Blight endorses every provider or can guarantee availability. The Hoarding Alliance is not a city or county agency, therapy practice, emergency service, or cleanup company. We will keep reviewing this page, but please confirm details directly before relying on them.

Need help choosing a path? Contact Fight the Blight