Individual provider · Type 1 NPI

Shelby Chancellor

Peer Specialist · Maryville, TN

NPI number 1245183417 Active

Practice location

1704 E Broadway Ave
Maryville, TN 37804-2916

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1245183417

Shelby Chancellor's National Provider Identifier is 1245183417, issued on Feb 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Maryville, TN. The record was last updated on Feb 18, 2026.