Mainka Teletherapy Services, LLC
NPI #1700648631 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1700648631
- Entity Type
- Organization
- Organization Name
- Mainka Teletherapy Services, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 25, 2024
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 1210 POLK ST
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5024
- Phone
- (601) 456-2633
Authorized Official
- Name
- ALICIA MAINKA, LPC, LMFT
- Title
- OWNER
- Phone
- (601) 456-2633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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