# WELLNESS POOLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073364071
- **Authorized official:** KALA DUHON (CREDENTIALING MANAGER)
- **Authorized official phone:** (337) 422-6746

## Contact information

- **Practice address:** 211 S MAIN ST, ABBEVILLE, LA 70510-5907
- **Practice address phone:** (337) 516-1770
- **Practice address fax:** (337) 516-1887
- **Mailing address:** 211 S MAIN ST, ABBEVILLE, LA 70510-5907
- **Mailing address phone:** (337) 516-1770
- **Mailing address fax:** (337) 516-1887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 05/05/2025