The Peer Tree
The Peer Tree offers practical nonclinical support, groups, and family guidance as a separate private-pay pathway. Ask about scope, cost, travel, consent, safety, and whether support is available in Pikeville or Pike County.
A Hoarding Alliance local resource guide
A people-first place to begin when clutter or a home-safety concern is affecting you or someone you care about in Pikeville or Pike County. Choose one manageable next step; inclusion here does not promise treatment, cleanup, a ride, housing, or an opening in a program.
Start here - Fight the Blight
Fight the Blight is the nonprofit front door for a respectful first conversation and virtual peer groups. Ask about current group fit, service area, and any eligibility requirements. The Peer Tree is a separate private-pay option for practical, nonclinical support. Unburied offers digital peer support for people affected and supporters; it is not therapy or emergency support. Other listings are independent options. Confirm fit, cost, eligibility, consent, safety, and current availability directly.
For immediate danger, fire, serious injury, or urgent medical help, call 911. For emotional distress or a behavioral-health crisis, call or text 988. WestCare's Perry Cline Emergency Shelter is a housing intake option, not emergency dispatch; confirm eligibility and an open space before traveling. If a home is unsafe, choose the safest available location and contact emergency services or a trusted support person.
First conversations
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.
The Peer Tree offers practical nonclinical support, groups, and family guidance as a separate private-pay pathway. Ask about scope, cost, travel, consent, safety, and whether support is available in Pikeville or Pike County.
Unburied is a digital peer-support pathway for people directly affected by hoarding and clutter and for friends or family supporters. It is not therapy, a crisis service, or a substitute for emergency help.
Mountain Comprehensive Care Center lists a Pikeville Complex. Contact the provider to confirm which services are currently offered at this location, whether they fit your needs, coverage or fees, and how to start. No hoarding-specific treatment is verified.
Safety and stability
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.
Call 911 for an active threat, fire, serious injury, or urgent police, fire, or EMS response. Share the exact location and access or mobility concerns. It is not a planned cleanup or routine referral line.
Call or text 988 for emotional distress, suicidal thoughts, or a behavioral-health or substance-use crisis. For immediate physical danger, fire, or serious medical emergency, call 911.
The county's community-resource page lists the Health Department for public-health services, naloxone training/distribution, syringe disposal, HIV testing, and care linkage. Call to confirm current hours and service details; call 911 for a life-threatening emergency.
WestCare describes its Pikeville shelter as serving adult men and women and families from Pike County and surrounding areas. Call before traveling to ask about eligibility, safe intake, current capacity, and what to bring. For immediate danger, call 911.
Use the Kentucky Cabinet for Health and Family Services page to find current Adult Protective Services reporting instructions. A report is not a guaranteed placement or home-cleaning service. Call 911 for immediate danger.
Use the Kentucky Cabinet for Health and Family Services child-protection page for current reporting options when a child may be unsafe. This is not a routine cleanup or housing service; call 911 for immediate danger.
Call Poison Control at 1-800-222-1222 for a possible ingestion or exposure and follow the specialist's instructions. For a person who is unconscious, having a seizure, or struggling to breathe, call 911.
Call 211 or use Kentucky 211 to look for food, housing, utilities, transportation, and other community resources. Confirm directly with the provider because schedules, eligibility, and capacity can change.
Call or text the National Domestic Violence Hotline for confidential support related to domestic violence and help finding an appropriate local program. Ask about safe contact and current options. For immediate danger, call 911.
Mountain Comprehensive lists Pikeville services. Ask the provider for its current crisis pathway and whether it serves your location; this directory listing does not confirm 24-hour local crisis response or an appointment opening.
Kentucky CHFS lists Big Sandy Area Agency on Aging and Independent Living for Pike County. Call the state ADRC line or regional agency to ask about current services, eligibility, and intake; a referral does not guarantee a funded slot.
People and practical help
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.
Pikeville's official About page identifies the city as Pike County's county seat. This supports the geography used in this guide; it does not mean every City service covers all Pike County addresses.
The City's official site links departments, utility requests, recycling, large-trash scheduling, code enforcement, records, parks, and public safety. Confirm your address is inside city limits and ask the responsible department about current rules and fees.
Kentucky's Department for Local Government county directory can help distinguish county and municipal offices. Contact the office that covers the address and confirm its remit before relying on a service.
The City Clerk's office provides public-record and city-government navigation. Ask about the correct office, current hours, record request steps, and fees; the clerk does not provide legal advice or cleanup services.
The City provides code and building information online. Before acting, ask which code applies, whether an inspection or permit is required, and how to request an accommodation or discuss a concern. This listing is not a determination that a property violates code.
City pages describe large-trash scheduling and current municipal waste rules. Call before placing items curbside; verify address, schedule, acceptable materials, volume limits, and fees. Do not put out blocked exits, sharp, chemical, or biohazard materials as ordinary trash.
The City publishes utility rates and service details. The available rate page may not reflect current charges; contact the department for current tariffs, service boundaries, account options, and any assistance before making a decision.
The City's fire pages describe public education and fire-station information. Contact the department about current safety-education options; this is not an inspection, alarm installation, or cleanup commitment.
The City describes public parks, trails, and reservable facilities. Confirm accessibility, current opening, rental rules, and any fees before traveling or planning an event.
The Health Department's current community-resource page lists local food, clothing, housing, behavioral-health, and prevention contacts. Call to confirm a listing's current schedule and requirements; for urgent medical danger call 911.
Pike County Health Department lists Appalachian Community Care at 255 Church Street, Suite 100, for counseling and related services. Confirm current location, service fit, coverage, cost, and appointment availability. No hoarding-specific treatment is claimed.
Pikeville Medical Center lists its main campus and hospital services. For urgent symptoms, call 911 or go to emergency care; for appointments, confirm department, availability, insurance, and billing directly.
Big Sandy Health Care lists its Pikeville Community Health Center and pharmacy. The organization describes a sliding-fee discount based on household size and income; contact it to confirm eligibility, documents, current services, and appointments.
Big Sandy Health Care explains how its sliding-fee discount may reduce certain health-care charges for qualifying patients. Call first to confirm what services are included and which proof-of-income documents to bring.
The county health department lists WIC services. Call to confirm eligibility, appointment availability, documentation, and current location; a listing does not guarantee enrollment or food supply.
Pike County's health department currently lists the Dream Center at 463 Hambley Boulevard, with meals Wednesday and Friday 11 a.m.–1 p.m. and food-box/delivery options. Schedules and supply can change; call before traveling.
Pike County's health department lists Faith Life Market at 130 Division Street and free lunches every other Tuesday. Call to confirm that the schedule and location remain current before traveling.
Pike County's health department lists Grace Fellowship Community Kitchen at 115 Wolford Street. Call before going to confirm current meal hours, access, and any changes.
The county health department lists Pikeville Community Kitchen at 107 Main Street for breakfast and community lunch. Confirm current hours and service before traveling.
BSACAP lists programs including weatherization, housing assistance, LIHEAP, and emergency services. The county health department lists its Pikeville office at 478 Town Mountain Road. Call to confirm current program availability, residency, documents, and whether funds remain.
BSACAP describes housing assistance options. Call the local office to confirm which program currently serves Pike County, whether funds are open, and required proof; a website description is not approval or placement.
Pike County's community-resource directory lists the Housing Authority at 748 Hambley Boulevard. Call to ask about current application status, eligibility, accommodations, and waitlists; do not assume a unit is available.
The county health department lists the Pike County Housing Authority at 142 Trivette Drive. Contact the authority to confirm current office contact, service territory, application process, and waitlist status.
Kentucky Housing Corporation links to housing programs and partner resources. Ask about current openings and local administrators; statewide information does not establish a Pike County placement.
HUD's Kentucky page helps locate housing information and approved counseling. Confirm provider, fees, and fit; no local waitlist or available unit has been verified by this guide.
Kentucky Transportation Cabinet maintains a provider directory and lists its Human Service Transportation Delivery customer-service line. Identify the Pike County operator, then confirm route, reservation lead time, fare, accessibility, and current service directly before relying on a ride.
Kentucky provides a pathway for eligible Medicaid members to ask about non-emergency medical transportation. Confirm the current broker, authorization, scheduling window, and trip rules; call 911 for an emergency.
The Kentucky Public Library Association's directory lists the Pike County Public Library District. Confirm the nearest branch, current hours, card requirements, accessibility, and available public computers before visiting.
The Pike County Extension office lists local programs and community information. Ask about current classes, 4-H, family/consumer resources, accessibility, and any costs or registration requirements.
Kynect is Kentucky's portal for health coverage and public-benefit applications. Review current documents and deadlines; eligibility and approval are determined by the program.
Use Kentucky Medicaid's official pages to understand application and member pathways. Confirm current eligibility, provider participation, and whether a particular service is covered before scheduling.
Kentucky CHFS explains SNAP applications and program rules. Check current eligibility and processing requirements; for food needed sooner, call 211 or contact a pantry and verify its schedule and supply.
Kentucky's energy-assistance page explains the LIHEAP pathway. Call BSACAP to confirm the Pike County application period, documents, and available funding before relying on assistance.
Kentucky's aging department identifies Big Sandy Area Agency on Aging and Independent Living as serving Pike County. Call to ask about caregiver support, meals, transportation, and other programs; confirm eligibility and current capacity.
AppalReD provides civil legal-aid intake for eligible residents. Use its current intake line or online application to ask whether a housing, benefits, consumer, or other civil matter qualifies; a referral does not guarantee representation.
The state court directory lists Pike County court contacts. Confirm current hours, filing requirements, and fees with the clerk; seek legal advice from an attorney or legal-aid provider.
Kentucky Career Center provides information about employment, training, and workforce programs. Ask for the current Pike County service location, appointments, accommodations, and eligibility before traveling.
Kentucky's Office of Vocational Rehabilitation can help eligible people address disability-related barriers to employment. Contact the state program about referral, documentation, and the regional office.
Pike County Health Department publishes local listings for basic needs and providers. Use it as a lead list and call each organization to verify current address, eligibility, hours, and capacity before traveling.
Use Kentucky Housing Corporation and Kentucky 211 to identify local housing pathways, then confirm intake and availability directly. No open Pike County housing waitlist or placement is verified by this guide.
Search the federal treatment locator and verify each provider directly, including clinical scope, credentials, cost, insurance, and current intake. This guide has not verified a hoarding-specialty clinician in Pike County.
The IOCDF offers education and a directory search. Verify training, fit, location, fees, payer, and openings with any listed provider; inclusion in a directory is not an endorsement or proof of current availability.
A note from the Alliance
This guide is anchored in Pikeville, Kentucky, 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