Provider Demographics
NPI:1508142597
Name:POLANSKY, LOUISE WALKER LOVING (LCSW, LMHC, LCAC)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:WALKER LOVING
Last Name:POLANSKY
Suffix:
Gender:F
Credentials:LCSW, LMHC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7845 HARBOUR ISLE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3462
Mailing Address - Country:US
Mailing Address - Phone:317-730-2039
Mailing Address - Fax:317-257-7540
Practice Address - Street 1:5555 N TACOMA AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3512
Practice Address - Country:US
Practice Address - Phone:317-730-2039
Practice Address - Fax:317-257-7540
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-23
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000228A101YA0400X
IN39000451A101YM0800X
IN34002385A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health