Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mainka Teletherapy Services, LLC

Organization Mental Health Counselor · NPI 1700648631

Mainka Teletherapy Services, LLC is a Mental Health Counselor in Vicksburg, Mississippi. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 Polk St
Vicksburg, MS 39180-5024
Phone: (601) 456-2633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1700648631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Mainka — Owner · (601) 456-2633
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address665 S Pear Orchard Rd Ste 106-701, Ridgeland, MS 39157-4861

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