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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAINKA TELETHERAPY SERVICES, LLC
NPI 1700648631
Counselor - Mental Health in Vicksburg, MS

Active since January 25, 2024
1210 POLK ST, VICKSBURG, MS 39180(601) 456-2633 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mainka Teletherapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINKA TELETHERAPY SERVICES, LLC (NPI 1700648631) is a healthcare organization registered as a mental health in Vicksburg, Mississippi and active in the NPI registry since January 2024. The organization lists Alicia Mainka, Owner, as its authorized official.

NPPES Registry Identity

NPI1700648631
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMAINKA TELETHERAPY SERVICES, LLC
Location Address1210 POLK STVicksburg, MS 39180-5024
Mailing Address1755 Lelia Dr Ste 405701Jackson, MS 39216-4828 · (601) 456-2633
Phone(601) 456-2633
Organization SubpartNo
Authorized OfficialAlicia MainkaOwner · (601) 456-2633
Enumeration DateJanuary 25, 2024
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1700648631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1210 POLK ST, Vicksburg, MS 39180
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainka Teletherapy Services, LLC's NPI number?

The NPI number for Mainka Teletherapy Services, LLC is 1700648631. It was assigned to this organization in the NPPES registry on January 25, 2024.

Where is Mainka Teletherapy Services, LLC located?

Mainka Teletherapy Services, LLC is located at 1210 Polk St, Vicksburg, MS 39180. The listed phone number is (601) 456-2633.

What is Mainka Teletherapy Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mainka Teletherapy Services, LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.