Individual provider · Type 1 NPI

Gregory Bonvillian

Mental Health Counselor · Baker, LA

NPI number 1174037832 Active

Practice location

350 Main St
Baker, LA 70714-3767

Fax (225) 612-6602

Mailing address

11349 Copperwood Dr
Denham Springs, LA 70726-6087

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174037832

Gregory Bonvillian's National Provider Identifier is 1174037832, issued on Nov 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baker, LA. The record was last updated on Sep 29, 2026.