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1508142597 NPI number — LOUISE WALKER LOVING POLANSKY LCSW, LMHC, LCAC

NPI Number: 1508142597
Health Care Provider/Practitioner: LOUISE WALKER LOVING POLANSKY LCSW, LMHC, LCAC

Information about “1508142597” NPI (LOUISE WALKER LOVING POLANSKY LCSW, LMHC, LCAC) exists in 1508142597 in HTML format HTML  |  1508142597 in plain Text format TXT  |  1508142597 in PDF (Portable Document Format) PDF  |  1508142597 in an XML format XML  formats.

NPI Number : 1508142597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508142597",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POLANSKY",
    "FirstName": "LOUISE",
    "MiddleName": "WALKER LOVING",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW, LMHC, LCAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7845 HARBOUR ISLE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46240-3462",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-730-2039",
    "MailingAddressFaxNumber": "317-257-7540",
    "FirstLinePracticeLocationAddress": "5555 N TACOMA AVE",
    "SecondLinePracticeLocationAddress": "SUITE 11",
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46220-3512",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-730-2039",
    "PracticeLocationAddressFaxNumber": "317-257-7540",
    "EnumerationDate": "10/23/2011",
    "LastUpdateDate": "05/15/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "87000228A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "39000451A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "34002385A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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