The Peer Tree
A separate private-pay pathway. Ask directly about scope, location, availability, travel, and current fees before making plans.
A Hoarding Alliance local resource guide
You do not have to solve everything at once. Start with the kind of support that feels useful, and call ahead to confirm each service’s reach, cost, and availability.
Start here - Fight the Blight
Fight the Blight is the nonprofit front door and offers virtual peer-support groups; ask about current fit and capacity from Pineville or elsewhere. The Peer Tree is a separate private-pay pathway; confirm scope, service area, availability, travel, and fees. Unburied is digital peer support, not therapy or emergency support. These listings are independent options, not endorsements. Confirm access, eligibility, cost, and fit directly.
For immediate danger, fire, rescue, or urgent medical response, call 911. For emotional distress or a behavioral-health crisis, call or text 988. West Virginia 211 can provide current referrals, but a referral does not guarantee assistance, a bed, or placement. If there is a specific concern about suspected abuse or neglect, DoHS can screen a report; clutter alone does not establish abuse or neglect.
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.
A separate private-pay pathway. Ask directly about scope, location, availability, travel, and current fees before making plans.
A digital peer-support pathway for people affected by hoarding and clutter concerns and for friends and family. It supports connection, not therapy or emergency response.
Call 211 or 1-833-848-9905, or text a ZIP code to 898-211, for current food, housing, utility, health, and transportation referrals. Referrals do not guarantee assistance or placement.
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 immediate danger, fire, rescue, or urgent medical response. If safe, explain access, mobility, or communication needs.
Call or text 988, or use online chat, to connect with a crisis counselor. The call system routes based on phone number and may use a national backup if a local center is unavailable.
Call or text 844-435-7498 or use online chat for behavioral-health or substance-use support and referrals. For immediate danger call 911; 988 is also available for emotional crisis.
The county describes its 911 center as taking emergency calls throughout the county. The administrative office provides emergency planning and floodplain information; call 911 for an active emergency.
Use the state intake only when there is a genuine safety or protection concern. A cluttered home or neighbor disagreement alone does not establish abuse or neglect.
Call 800-799-SAFE or text START to 88788. Consider whether calls, texts, or browsing could be visible to another person; call 911 for immediate danger.
Use the 988 Lifeline's online chat for emotional distress or suicidal crisis. Call 911 for immediate physical danger or urgent medical response.
Text a ZIP code to 898-211 or call the toll-free number if VoIP or Wi-Fi calling cannot connect. Ask about current local referrals and eligibility.
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.
The county lists environmental-health contacts and public-health services at its Courthouse Annex. Call ahead to confirm the right service, current hours, and whether an appointment is needed.
The county posts landfill and compactor hours as Tuesday–Saturday, 8–4, closed Monday; temporary closures may be posted separately. Its first-Tuesday tire drive is listed with a 20-tire limit; confirm current rules before travel.
City Hall's contact page lists general town and water contacts. Ask which office handles the specific issue and confirm current address and hours before visiting.
The commission page is a starting point for county government and public notices. Call the county's main number and ask which office handles the concern.
The state assessor directory lists the county office at the courthouse. Ask about current office hours, property-record questions, and appeal procedures.
The state lists Medicaid, SNAP, LIEAP, WVCHIP, emergency assistance, non-emergency medical transportation, and social services. Call first about intake, documents, and whether to visit; eligibility and funds are not guaranteed.
Review or apply for Medicaid, SNAP, and other assistance through the state portal. Each program has its own eligibility and document rules; submission is not approval.
The provider describes walk-in primary care for adults and children and says inability to pay alone does not bar service. Published addresses conflict; call 304-732-6735 to confirm the current location, access, hours, and cost before travel. No hoarding-specialty service is claimed.
The provider's current location page lists its Catterson Center and phone. Another public listing gives a conflicting street number, so call first to confirm location, hours, appointments, cost, and new-patient access.
The provider describes outpatient and other behavioral-health services through clinics in Mullens and Rockview. Ask about assessment, referral requirements, current access, insurance, sliding-fee details, and whether a service fits. No hoarding-specific treatment is promised.
The provider lists a 24-hour crisis line at 800-615-0122. Use it for a behavioral-health crisis, not routine decluttering or emergency dispatch.
The state directors' directory lists senior-center, in-home-care, and transportation services. Call to ask about age eligibility, service geography, assessments, costs, waitlists, and capacity; do not assume a Pineville ride is available.
The state Medicaid agency describes transportation for eligible covered medical services. Confirm the current ride manager, trip eligibility, notice period, and accessibility before relying on a ride.
The state waiver program requires assessment and eligibility. Ask about current enrollment, waiting status, service planning, and provider availability. It is not a hoarding cleanout program.
HUD's state page points to housing programs. Ask each provider about current openings, eligibility, accessibility, and waiting lists; a listing here does not promise a unit or funding.
Use HUD's locator to find approved housing counselors and ask about rental or home-retention scope, fees, accessibility, language access, and appointment availability.
The state describes assessment and services when appropriate and available. Contact local DoHS or 211 to ask about present access, safety, and openings; the state page does not confirm a current Pineville shelter bed.
The university lists its county office, public hours, and community programs. Call about current classes, accessibility, eligibility, and any registration cost.
The library posts weekday and Saturday hours and contact details. Call to confirm hours, card requirements, accessibility, internet access, and any fees before traveling.
The statewide program says initial qualification requires West Virginia residency and age 60 or older. Contact by phone or email to confirm case scope and intake, and do not visit without an appointment. Court costs or other expenses may still apply.
Ask Wyoming County DoHS or WV PATH about current SNAP screening and documents. For immediate local food referrals, contact 211; benefit approval is not guaranteed.
The county Emergency Services office provides floodplain maps and permitting information. Use it for planning or property questions, not emergency dispatch; call 911 during immediate danger.
The county's agency directory provides a main number. Use it for appropriate non-emergency law-enforcement matters; routine clutter concerns are not automatically a law-enforcement issue.
A note from the Alliance
This guide is anchored in Pineville, 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