Provider Demographics
NPI:1144842972
Name:COLE, HAYLIE (MSW, ASW)
Entity type:Individual
Prefix:
First Name:HAYLIE
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:HAYLIE
Other - Middle Name:
Other - Last Name:KIRKENDALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6056 CAHUILLA AVE
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-2006
Mailing Address - Country:US
Mailing Address - Phone:269-330-4542
Mailing Address - Fax:
Practice Address - Street 1:6162 ROTARY WAY
Practice Address - Street 2:
Practice Address - City:JOSHUA TREE
Practice Address - State:CA
Practice Address - Zip Code:92252-6100
Practice Address - Country:US
Practice Address - Phone:760-366-3791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-14
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical