Healthcare Provider Details

I. General information

NPI: 1114832722
Provider Name (Legal Business Name): HALY DONALDSON PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 US HIGHWAY 60 W
REPUBLIC MO
65738-1432
US

IV. Provider business mailing address

281 US HIGHWAY 60 W
REPUBLIC MO
65738-1432
US

V. Phone/Fax

Practice location:
  • Phone: 417-289-2942
  • Fax:
Mailing address:
  • Phone: 417-289-2942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025028784
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: