Healthcare Provider Details

I. General information

NPI: 1144842972
Provider Name (Legal Business Name): HAYLIE COLE MSW, ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAYLIE KIRKENDALL

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 11/27/2023
Certification Date: 05/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6162 ROTARY WAY
JOSHUA TREE CA
92252-6100
US

IV. Provider business mailing address

6056 CAHUILLA AVE
TWENTYNINE PALMS CA
92277-2006
US

V. Phone/Fax

Practice location:
  • Phone: 760-366-3791
  • Fax:
Mailing address:
  • Phone: 269-330-4542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: