Healthcare Provider Details

I. General information

NPI: 1316868466
Provider Name (Legal Business Name): HAILY MARSHALL PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NE MISSOURI RD STE 307
LEES SUMMIT MO
64086-4722
US

IV. Provider business mailing address

269 NW KESSLER DR APT 203
LEES SUMMIT MO
64081-4181
US

V. Phone/Fax

Practice location:
  • Phone: 816-839-9427
  • Fax:
Mailing address:
  • Phone: 660-596-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026026578
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: