Dominique Bonilla, LAC is a
Counselor - Mental Health based in Little Flock, Arkansas. Dominique Bonilla is licensed to practice in Arkansas (license number A2606022) and her current practice location is
2113 Little Flock Dr, Little Flock, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 621-0385.
NPI number for Dominique Bonilla is 1023935558 and her current mailing address is 2113 Little Flock Dr, Little Flock, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023935558.
Healthcare Provider's Profile
| Full Name | Dominique Bonilla |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 2113 Little Flock Dr, Little Flock, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023935558
- Provider Enumeration Date: 07/06/2026
- Last Update Date: 07/06/2026
Medical Identifiers
Medical identifiers for Dominique Bonilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023935558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | A2606022 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Bonilla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dominique Bonilla, LAC 2113 Little Flock Dr, Little Flock, AR 72756-7042 Ph: (479) 621-0385 | Dominique Bonilla, LAC 2113 Little Flock Dr, Little Flock, AR 72756-7042 Ph: (479) 621-0385 |
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