Healthcare Provider Details

I. General information

NPI: 1588580534
Provider Name (Legal Business Name): KAYLIE MICHELLE HAYES I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N CASCADE AVE STE 101
COLORADO SPRINGS CO
80903-3308
US

IV. Provider business mailing address

525 N CASCADE AVE STE 101
COLORADO SPRINGS CO
80903-3308
US

V. Phone/Fax

Practice location:
  • Phone: 720-432-7709
  • Fax:
Mailing address:
  • Phone: 720-432-7709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWC.0000002792
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: