Individual
MS. ELIZABETH P POLANKA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC IMFT
Contact information
Practice address
10 N LOCUST ST, SUITE B 3, OXFORD, OH 45056-1192
(513) 523-8991
(513) 523-8991
Mailing address
10 N LOCUST ST, SUITE B 3, OXFORD, OH 45056-1192
(513) 523-8991
(513) 523-8991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E1045
OH
106H00000X
Marriage & Family Therapist
Primary
E0007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255395
ANTHEM
OH
01
—
429908685003
MEDICAL MUTUAL
OH
01
—
6268092
UNITED BEHAVIOREL HEALTH
—
Enumeration date
12/13/2005
Last updated
09/11/2025
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