Individual provider · Type 1 NPI

Shallis Michelle Gonda

Community/Behavioral Health Agency · Cordova, TN

NPI number 1740580182 Active

Practice location

1155 Cully Rd
Cordova, TN 38018-8502

Call (901) 624-2454 Map

Fax (901) 624-2928

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: 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 suppo…

22 other providers at this address

About NPI 1740580182

Shallis Michelle Gonda's National Provider Identifier is 1740580182, issued on Nov 2, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cordova, TN. The record was last updated on Nov 2, 2010.