Basic Information
| Provider Information | |||||||||
| NPI: | 1598419087 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COOLEY | ||||||||
| FirstName: | HALEY | ||||||||
| MiddleName: | NOELLE | ||||||||
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| Credential: | LCSWA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1705 FRONT ST APT 4 | ||||||||
| Address2: | |||||||||
| City: | BEAUFORT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285169304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3364049992 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2801 NEUSE BLVD | ||||||||
| Address2: | |||||||||
| City: | NEW BERN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285622838 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2526366007 | ||||||||
| FaxNumber: | 2526720009 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2022 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P016604 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.