| Gregory Bonvillian, | |
|
350 Main St, Baker, LA 70714-3767 | |
| (225) 778-6783 | |
| (225) 612-6602 |
| Full Name | Gregory Bonvillian |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 350 Main St, Baker, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174037832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Bonvillian, 11349 Copperwood Dr, Denham Springs, LA 70726-6087 Ph: (225) 892-0103 | Gregory Bonvillian, 350 Main St, Baker, LA 70714-3767 Ph: (225) 778-6783 |
Mr. Micon Gaines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4206 N. Morvant Pl., Baker, LA 70714 Phone: 225-367-5310 | |
Racquel Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Groom Rd, Suite D, Baker, LA 70714 Phone: 225-218-4444 Fax: 225-448-3000 | |
Kimberly Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2944 Ray Weiland Dr, Baker, LA 70714 Phone: 225-636-2638 | |
Miles Potier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5105 W Shilo Ave, Baker, LA 70714 Phone: 225-202-0304 | |
Vernett L King-cage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6869 Laurel Hill Ave, Baker, LA 70714 Phone: 225-278-1584 | |
Phylea Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Groom Rd Ste D, Baker, LA 70714 Phone: 225-218-4444 |