A Hoarding Alliance local resource guide

Hoarding support in Pearisburg, Virginia.

Start with a respectful next step in Pearisburg or elsewhere in Giles County. This guide connects people, families, supporters, and local systems with practical pathways while keeping emergencies and qualified care in the right lane.

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

Start here - Fight the Blight

A calm place to begin

You do not have to solve everything at once. Start with the pathway that fits the situation, then confirm current availability, eligibility, cost, jurisdiction, and safety requirements directly with the organization.

For immediate danger

If there is immediate danger, fire, a medical emergency, violence, or an active threat, call 911. For emotional or behavioral-health crisis support, call or text 988 or use Virginia's local crisis and community-services pathways.

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.

Private-pay hoarding support, organizing help, groups, and family guidance - broader service area, including possible support for Giles County; private-pay scope, cost, scheduling, travel, consent, safety, and capacity must be confirmed directly; not emergency or clinical care

The Peer Tree

The Peer Tree is the private-pay pathway for organizing help, decluttering support, groups, family guidance, and practical next steps when a grant or public program is not the right fit. Ask about scope, cost, travel, consent, safety, and whether support is available in Giles County.

Digital peer-support pathway - online for people affected by hoarding and clutter concerns and their supporters; current access and eligibility should be confirmed; no fee or clinical-coverage claim is made here; not therapy, crisis response, or emergency support

Unburied

Unburied, from The Peer Tree, offers a judgment-free digital pathway with peer support, groups, and tools for people directly affected and for friends, family, property managers, municipal workers, and other supporters.

Free, confidential resource navigation for housing, food, health care, utilities, transportation, legal help, and basic needs - Virginia, including Giles County; 24/7 service; each referred provider has its own eligibility, cost, and availability rules; not emergency dispatch

211 Virginia

211 Virginia connects people with current local resources for housing, food, health care, utilities, transportation, mental health, and other needs. Ask for options serving Pearisburg and Giles County.

Qualified community-services-board pathway for mental health, substance use, developmental services, counseling, and crisis support - 705 Wenonah Avenue, Pearisburg; 540-921-2238; intake, insurance, and capacity rules vary; not emergency dispatch

New River Valley Community Services - Giles Clinic

New River Valley Community Services is the public behavioral-health, substance-use, and developmental-services pathway for Giles County. The Giles Clinic can confirm the right current service, crisis route, coverage, and availability.

Local acute-care hospital and qualified-care pathway - 159 Hartley Way, Pearisburg; 540-921-6000; emergency room, inpatient, outpatient, insurance, billing, transfer, and capacity rules must be confirmed directly; not cleanup or hoarding support

Carilion Giles Community Hospital

Carilion Giles Community Hospital provides a local hospital pathway for Giles County, including emergency, inpatient, outpatient, rehabilitation, and diagnostic services. Call 911 for a life-threatening emergency and confirm hospital, financial-assistance, and transfer information directly.

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.

Immediate danger and emergency dispatch - Pearisburg and Giles County; use for fire, medical emergency, violence, rescue, or an active threat; not a hoarding-support program, counseling service, or cleanup provider

911 Emergency Services

Call 911 when there is immediate danger, fire, a medical emergency, violence, or a threat that cannot wait for a scheduled service.

Emotional-distress and suicide-crisis support - Virginia and nationwide; phone, text, and chat access; free and confidential; crisis-support eligibility and local follow-up vary; not fire, EMS, or police dispatch; call 911 for immediate physical danger

988 Suicide & Crisis Lifeline

Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health crisis. If there is immediate physical danger, fire, a medical emergency, or an active threat, call 911 instead.

County emergency-management, public-alert, and disaster-preparedness pathway - Giles County; call 911 for emergencies; incident instructions, road access, and local response rules apply; not counseling or cleanup

Giles County Emergency Management

Use Giles County's emergency-management pathway for preparedness and incident information that can wait. Call 911 for an active emergency.

County law-enforcement and public-safety pathway - 503 Wenonah Avenue, Pearisburg; 540-921-3842; call 911 for immediate danger; jurisdiction and report rules apply; not counseling or cleanup

Giles County Sheriff's Office

Use the Giles County Sheriff's Office for county law-enforcement and public-safety questions that are not an active emergency. Confirm the correct current route for the situation.

Municipal public-safety, utilities, permits, code, public works, and town-service pathway - 112 Tazewell Street, Pearisburg; 540-921-0340; town jurisdiction, service-area, fee, and code rules apply; not emergency dispatch or private cleanup

Town of Pearisburg Government

Use the Town of Pearisburg for current municipal services, permits, codes, water and sewer questions, and local administration. Call 911 for an active emergency.

Local emergency-department pathway - 159 Hartley Way, Pearisburg; 540-921-6000; emergency triage, transfer, insurance, billing, and capacity rules apply; call 911 for life-threatening symptoms; not cleanup or hoarding support

Carilion Giles Community Hospital Emergency Room

Carilion Giles Community Hospital's emergency room is the local hospital option for Giles County. Call 911 for a life-threatening emergency rather than driving if symptoms or conditions may be urgent.

Behavioral-health and substance-use crisis evaluation and intervention pathway - Giles County and New River Valley; call 540-961-8400 or 988; current response, intake, and safety limits apply; call 911 for immediate physical danger

New River Valley Community Services Crisis Response

New River Valley Community Services provides public behavioral-health crisis services for the New River Valley. Call 540-961-8400 or 988 for crisis support, and call 911 for immediate physical danger.

Qualified behavioral-health, substance-use, and developmental-services pathway - 705 Wenonah Avenue, Pearisburg; 540-921-2238; intake, insurance, referral, and capacity rules vary; not emergency dispatch

Giles Clinic - New River Valley Community Services

The Giles Clinic is a local New River Valley Community Services access point. Confirm current services, intake, coverage, crisis limits, and accommodations directly.

Official public-health, immunization, WIC, screening, and environmental-health pathway - 1 Taylor Avenue Suite 4, Pearisburg; 540-235-3135; programs, appointments, fees, and eligibility vary; not emergency care

Giles County Health Department

The Giles County Health Department is the local Virginia Department of Health pathway for public-health and environmental-health questions. Confirm appointments, fees, language access, and current services directly.

Protective-services reporting and screening pathway for suspected abuse, neglect, or exploitation of an adult - Virginia, including Giles County; screening, jurisdiction, confidentiality, and response rules apply; call 911 for immediate danger

Virginia Adult Protective Services

Use Virginia Adult Protective Services when an adult may be experiencing abuse, neglect, or exploitation and the situation is not an immediate 911 emergency. Confirm current reporting options and local response directly.

Local adult, child, family, benefits, and protective-services pathway - 211 Main Street Suite 109, Narrows; 540-726-8315; eligibility, intake, confidentiality, and response rules apply; call 911 for immediate danger

Giles County Department of Social Services

Giles County Department of Social Services can screen for benefits, adult services, child services, and protective-services pathways. Confirm the right local or after-hours route for the situation.

Protective-services reporting and screening pathway for suspected child abuse or neglect - Virginia, including Giles County; 24/7 hotline, screening, jurisdiction, and response rules apply; call 911 for immediate danger

Virginia Child Protective Services

Call Virginia's Child Protective Services hotline when a child may be experiencing abuse or neglect and the concern is not an immediate 911 emergency. Local intake and response rules apply.

Confidential survivor-support and safety-planning pathway - Virginia, including Giles County; 24/7 advocates, local referrals, and shelter options vary; call 911 for immediate danger

Virginia Sexual and Domestic Violence Hotline

Call or text Virginia's statewide hotline for confidential support related to sexual or domestic violence. Advocates can help identify local options; call 911 for immediate danger.

Poison-exposure information and medical guidance - Virginia; call 911 for collapse, seizure, breathing trouble, or another immediate emergency; not hoarding support or cleanup

Virginia Poison Center

Call the Virginia Poison Center for poison-exposure guidance. If someone has collapsed, cannot breathe normally, is having a seizure, or is in immediate danger, call 911 first.

Utility-locate and excavation-safety pathway - Virginia, including Giles County; submit before digging; marking and utility-owner rules apply; call 911 for an active utility emergency

Virginia 811

Contact Virginia 811 before digging or disturbing ground so utility lines can be marked. Use 911 for an active gas, electrical, fire, or other immediate utility danger.

State emergency preparedness, alerts, shelter, and disaster-information pathway - Virginia, including Giles County; local incident instructions and eligibility rules apply; call 911 for an active emergency

Virginia Emergency Management

Virginia Emergency Management provides preparedness and disaster-information resources that complement Giles County emergency services. Follow current local incident instructions and call 911 for an active emergency.

Municipal water and sewer outage or emergency-information pathway - Town of Pearisburg; after-hours issues route through the Giles County Sheriff's Office at 540-921-3842; call 911 for immediate danger; not private cleanup

Pearisburg Water and Sewer After-Hours Route

The Town of Pearisburg directs after-hours water and sewer issues to the Giles County Sheriff's Office. Confirm the current town utility process and use 911 for immediate danger.

County administration, courts, elections, revenue, public safety, social services, and county-service information pathway - Giles County; department, jurisdiction, appointment, and fee rules apply; not emergency dispatch

Giles County Government and Property Services

Use the Library of Virginia's current locality record to confirm Giles County offices and contacts before making a county-service, property, court, or records request.

Official locality lookup for Giles County and Pearisburg - Virginia; use to confirm county or town jurisdiction before a public-service request; not emergency dispatch or a cleanup provider

Virginia Local Government Directory

Virginia's local-government directory confirms the Giles County and Pearisburg government jurisdictions. Use it as a starting point when a property or safety question may cross town and county lines.

Circuit, district, and county court-information pathway - Giles County; filing, service, fee, scheduling, and legal-representation rules apply; not emergency dispatch or legal advice

Giles County Courts

Use the official locality record to confirm current Giles County court contacts and administrative pathways. Consider legal-aid screening for advice about a specific situation.

County and town solid-waste, recycling, transfer-station, and property-service information pathway - Giles County and Pearisburg; service-area, hours, accepted-material, fee, and jurisdiction rules apply; not hazardous-emergency response

Giles County Solid Waste and Recycling

Use Pearisburg and Giles County government routes to confirm current solid-waste, recycling, transfer-station, and accepted-material questions. Confirm hours, fees, and disposal rules before traveling.

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.

Local benefits, SNAP, Medicaid, TANF, energy, adult, child, and family-services pathway - 211 Main Street Suite 109, Narrows; 540-726-8315; program, income, household, documentation, and appointment rules apply; not emergency dispatch

Giles County Department of Social Services

Giles County Social Services is a local starting point for public benefits, family services, adult services, child services, and referrals. Ask about current eligibility, required documents, and the right intake route.

Online benefits screening and application pathway for SNAP, Medicaid, TANF, energy assistance, and related programs - Virginia, including Giles County; income, household, documentation, and program rules apply; not emergency dispatch

Virginia CommonHelp

CommonHelp is Virginia's online route to screen and apply for several public-benefit programs. Confirm current program rules and contact Giles County Social Services if online access is difficult.

Coordinated-entry and housing-crisis assessment pathway - Giles County and the New River Valley; assessment, eligibility, referral, program, and capacity rules apply; not emergency dispatch or guaranteed housing

New River Valley Housing Partnership Coordinated Entry

New River Valley Housing Partnership provides the area's coordinated-entry route for people experiencing or at risk of homelessness. The assessment is a starting point, not a guarantee of housing; confirm current intake and after-hours options.

Statewide affordable-rental and housing-search pathway - Virginia, including Giles County; property availability, income limits, screening, deposits, and landlord rules vary; not emergency shelter or guaranteed placement

Virginia Housing Search

Virginia Housing Search can help identify current rental and affordable-housing listings. Confirm availability, eligibility, deposits, screening, accessibility, and application requirements directly with each property.

HUD-funded affordable-housing and community-development pathway - Giles, Floyd, Montgomery, Pulaski, and Radford; income, program, jurisdiction, and funding rules apply; not emergency shelter or guaranteed housing

New River Valley HOME Consortium

The New River Valley HOME Consortium publishes regional affordable-housing and community-development information for Giles County and neighboring jurisdictions. Confirm current programs and eligibility.

State housing, community-development, homelessness, and repair-program pathway - Virginia, including Giles County; income, property, funding, application, and program rules vary; not emergency dispatch or guaranteed assistance

Virginia Department of Housing and Community Development

Virginia DHCD is a statewide housing and community-development pathway that may connect eligible households and local partners to repair, affordability, and stabilization programs. Confirm current local availability.

Local emergency short-term assistance for food, rent, mortgage, utilities, heating fuel, and housing referrals - 516 Wenonah Avenue, Pearisburg; 540-921-2146; income, residency, documentation, funding, and capacity rules apply; not emergency dispatch or guaranteed aid

New River Community Action - Giles Emergency Assistance

New River Community Action lists Giles County emergency assistance and food pathways. Ask about current eligibility, documents, office hours, and whether a request fits available funds; call 911 for an emergency.

Aging, caregiver, nutrition, and medical-transportation pathway - Giles County and the New River Valley; Med-Ride has a sliding scale with a minimum fee of $5 per trip; qualification and scheduling rules apply; not emergency transport

New River Valley Senior Services and Med-Ride

New River Valley Senior Services offers aging and caregiver supports, and Med-Ride can serve qualifying transportation needs in Giles County. Confirm eligibility, scheduling, fares, and current availability directly.

Transportation for special-needs programs, NRVCS clients, and Medicaid-funded medical trips - Giles County and the New River Valley; eligibility, scheduling, funding, and service-area rules apply; not emergency transport

NRVCS Community Transit

NRVCS Community Transit operates in Giles County and can provide transportation to treatment programs and medical visits for people with Medicaid transportation funds. Confirm current route and eligibility.

Affordable medical, dental, behavioral, and preventive-care pathway - 219 South Buchanan Street, Pearisburg; 540-921-3502; sliding-fee, insurance, appointment, and service rules apply; not emergency care

Community Health Center of the New River Valley - Giles Center

The Giles Center provides community-health services to people with or without insurance, with affordability and discount options subject to current rules. Confirm services, appointments, costs, and emergency limits directly.

Civil-legal information and possible representation pathway - Virginia, including Giles County; issue, income, household, conflict, and capacity rules apply; not emergency dispatch or legal advice by this listing

Virginia Legal Aid

Virginia Legal Aid provides civil-legal intake and information for eligible households. Confirm whether the issue, income, location, and current capacity fit its service rules.

Regional civil-legal help pathway - Southwest Virginia, including possible Giles County service; income, issue, conflict, intake, and capacity rules apply; not emergency dispatch or guaranteed representation

Southwest Virginia Legal Aid Society

Southwest Virginia Legal Aid Society can screen civil-legal issues affecting housing, safety, benefits, and family stability. Confirm service geography and current intake rules.

Federal Social Security, SSI, disability, and benefits-information pathway - Giles County residents; identity, work, medical, income, and application rules apply; not emergency dispatch

Social Security Administration

Use the Social Security Administration for current Social Security and SSI information, applications, and account access. Confirm local appointment and representative-service options.

Disability, vocational-rehabilitation, independent-living, and aging-services pathway - Virginia, including Giles County; disability, age, employment, referral, and program rules apply; not emergency dispatch

Virginia Department for Aging and Rehabilitative Services

DARS can connect eligible Virginians to rehabilitation, disability, independent-living, and aging-related services. Confirm the current local office and eligibility route.

Veteran and family benefits, claims, health-care navigation, and referral pathway - Virginia, including Giles County; veteran status, service records, benefit, and appointment rules apply; not emergency dispatch

Virginia Department of Veterans Services

Virginia Department of Veterans Services can help eligible veterans and families with claims, benefits, health-care navigation, and referrals. Confirm current local access and appointment options.

Workforce, employment, training, disability, and supportive-service pathway - Virginia, including Giles County; eligibility, program, appointment, and funding rules vary; not emergency dispatch or guaranteed employment

Virginia Career Works

Virginia Career Works provides employment, training, and workforce-navigation resources that may support household stability. Confirm the nearest current access point, eligibility, and available programs.

Local education, family, food, agriculture, home, water, and practical-information pathway - 507 Wenonah Avenue, Pearisburg; 540-921-3455; program, schedule, enrollment, and cost rules vary; not emergency dispatch or clinical care

Virginia Cooperative Extension - Giles County

Virginia Cooperative Extension's Giles County office provides local educational and practical information, including family, food, home, agriculture, water, and community programs. Confirm current schedules and program details.

Local library, technology, printing, research, mobile-library, and community-program pathway - 209 Fort Branch Road, Pearisburg; county-wide mobile library service; hours and access rules apply; not emergency dispatch

Pearisburg Public Library

Pearisburg Public Library provides books, technology, printing, research help, programs, and mobile-library service across Giles County. Confirm hours, card rules, accessibility, and current programming.

Local public-school, student-support, nutrition, enrollment, and family-information pathway - 151 School Road, Pearisburg; 540-921-1421; enrollment, residency, education, and program rules apply; not emergency dispatch

Giles County Public Schools

Giles County Public Schools provides current enrollment, family, nutrition, student-support, and school-contact information for local households. Confirm the correct school and current program requirements.

Local voter-registration and election-information pathway - 201 North Main Street, Pearisburg; 540-921-2802; registration, identity, residency, deadlines, and voting rules apply; not emergency dispatch

Giles County Office of Elections

Giles County's election office provides voter-registration, election, absentee, and ballot-information pathways. Confirm current deadlines, documentation, and accessible-voting options directly.

Municipal utilities, public works, permits, code, taxes, records, and town-service information pathway - 112 Tazewell Street, Pearisburg; 540-921-0340; town jurisdiction, service-area, fee, and code rules apply; not emergency dispatch

Town of Pearisburg Administration

The Town of Pearisburg is the municipal route for utilities, public works, permits, code, records, and town services. Confirm town jurisdiction before making a property or service request.

Circuit, district, county-court, records, and filing-information pathway - Giles County; filing, service, fee, scheduling, and legal-representation rules apply; not emergency dispatch or legal advice

Giles County Courts and Records

Use the Library of Virginia locality record to confirm current Giles County court and records contacts, then ask legal-aid programs about advice for a specific situation.

Senior income-based rental-housing pathway - 1262 Curve Road, Pearisburg; one-bedroom apartments; income, age, application, availability, screening, and property rules apply; not emergency shelter or guaranteed placement

Old Orchard Apartments

Old Orchard Apartments is a current Pearisburg housing listing for senior households seeking income-based rental housing. Confirm age and income rules, accessibility, application steps, waitlist, and availability directly.

Utility-bill assistance, energy-efficiency, and customer-support pathway - Appalachian Power service area, including parts of Virginia; income, account, program, and enrollment rules apply; not emergency dispatch

Appalachian Power Assistance Programs

Appalachian Power publishes current Virginia customer-assistance and energy-efficiency information. Confirm whether the property and account qualify and ask Giles County Social Services about related energy-assistance programs.

State-road, right-of-way, access, traffic, and roadway-safety information pathway - Virginia, including Giles County; state, county, and town jurisdiction rules apply; call 911 for an immediate roadway danger; not private-property cleanup

Virginia Department of Transportation

VDOT provides the state route for roadway, right-of-way, access, and traffic-safety questions. Confirm whether an issue belongs to VDOT, Giles County, or the Town of Pearisburg before submitting a request.

Health-coverage screening, enrollment, renewal, and member-support pathway - Virginia, including Giles County; income, household, identity, renewal, and plan rules apply; not emergency dispatch

Virginia Medicaid and Cover Virginia

Cover Virginia and Virginia Medicaid provide current coverage and enrollment information. Confirm eligibility, renewal deadlines, plan networks, and how to get help with an application.

State energy-bill and fuel-assistance pathway - Virginia, including Giles County; seasonal, income, household, application, and funding rules apply; not emergency dispatch

Virginia Energy Assistance

Virginia's energy-assistance pathway can help eligible households ask about heating, cooling, crisis, and utility support. Confirm current application windows and local documentation requirements.

Local food, child, family, and health-referral pathways through New River Community Action and New River Valley partners - Giles County; program, documentation, funding, and capacity rules apply; not emergency dispatch

Giles County Community Health and Food Navigation

New River Community Action connects Giles County households to emergency assistance and partner referrals. Ask about current food, family, health, and stabilization pathways rather than assuming a program is open or guaranteed.

Statewide benefit-program information and local-agency navigation - Virginia, including Giles County; income, household, documentation, and program rules apply; not emergency dispatch

Virginia Department of Social Services Benefit Programs

Virginia DSS provides current information about benefits, family supports, adult services, and local-agency access. Pair the state route with Giles County Social Services for local intake.

Regional planning, housing, transportation, and community-development information pathway - Giles County and the New River Valley; project, program, jurisdiction, and funding rules vary; not emergency dispatch or guaranteed assistance

New River Valley Regional Commission Housing Resources

The New River Valley Regional Commission coordinates regional planning and housing information that can help residents and supporters identify local programs. Confirm the responsible agency and current availability.

A note from the Alliance

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

This guide is anchored in Pearisburg, 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