Active NPI
KRG Bayou Wellness LLC
- Health Service Clinic/Center
- Lafayette, LA
National Provider Identifier
1669338109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- KRG BAYOU WELLNESS LLC
- Practice address
- 2011 Kaliste Saloom Rd Ste D
Lafayette, LA 70508-6117 - Phone
- (337) 345-8999
- NPI assigned
- Dec 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Dolecheck
- Title
- Owner
- Phone
- (318) 235-6133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2011 Kaliste Saloom Rd Ste D
Lafayette, LA 70508-6117
Mailing address
225 Dixon Estates Rd
Sterlington, LA 71280-3627
Phone (318) 235-6133
National Provider Directory
National Provider DirectoryLocations
2011 Kaliste Saloom Rd
Ste D
Lafayette, LA 70508
Phone (337) 345-8999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1669338109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 DIXON ESTATES RD",
"city": "STERLINGTON",
"state": "LA",
"postal_code": "712803627",
"telephone_number": "318-235-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 KALISTE SALOOM RD STE D",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086117",
"telephone_number": "337-345-8999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRG BAYOU WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A",
"authorized_official_last_name": "DOLECHECK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-235-6133",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.