PROCLAIM IN JESUS NAME NPI 1861289076

NPI Information

  • NPI: 1861289076
  • Provider Name: PROCLAIM IN JESUS NAME
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 701 DW LILLARD MEMORIAL HWY
    ETOWAH, TN
    ZIP 37331
  • Phone: (423) 370-3536

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NPI Details

PROCLAIM IN JESUS NAME is a community behavioral health in Etowah, TN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROCLAIM IN JESUS NAME NPI is 1861289076. The provider is registered as an organization entity type.

The provider's business location address is:

701 DW LILLARD MEMORIAL HWY
ETOWAH, TN
ZIP 37331-829
Phone: (423) 370-3536

The provider's authorized official is Shannon Broling .
The authorized official title is President and has the following contact phone number (423) 370-3536.

The enumeration date for this NPI number is 4/22/2025 and was last updated on 4/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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