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MRS. SHALLIS MICHELLE GONDA
NPI 1740580182
Community/Behavioral Health in Cordova, TN

Active since November 02, 2010
1155 CULLY RD, CORDOVA, TN 38018(901) 624-2454(901) 624-2928 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shallis Michelle Gonda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHALLIS MICHELLE GONDA (NPI 1740580182) is an individual community/behavioral health provider in Cordova, Tennessee and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1740580182
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameMRS. SHALLIS MICHELLE GONDA
Location Address1155 CULLY RDCordova, TN 38018-8502
Mailing Address1155 Cully RdCordova, TN 38018-8502 · (901) 624-2454 · Fax (901) 624-2928
Phone(901) 624-2454
Fax(901) 624-2928
Sole ProprietorYes
Enumeration DateNovember 2, 2010
✔ NPI 1740580182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
1155 CULLY RD, Cordova, TN 38018
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY WARNER
Behavior Analyst
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
CLAYTON CEA
Behavior Analyst
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
MR. LEVON JOHNSON JR. M.S
Behavior Analyst
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 870-2292
LISA WALLACE BCBA
Behavior Analyst
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
MS. JENNY ANNE HAYES M.S.
Counselor
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
BEHAVIORAL SERVICES OF TENNESSEE, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
MISS KATISHA FIELDS
Counselor
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454
HOUSTON CALVERT KEPPINGER BCBA
Behavior Analyst
1155 CULLY RD
CORDOVA, TN 38018
Shelby County (901) 624-2454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shallis Gonda's NPI number?

The NPI number for Shallis Gonda is 1740580182. It was assigned to this individual provider in the NPPES registry on November 2, 2010.

Where is Shallis Gonda located?

Shallis Gonda practices at 1155 Cully Rd, Cordova, TN 38018. The listed phone number is (901) 624-2454.

What is Shallis Gonda's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shallis Gonda was last updated on November 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.