# ANDROK SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710662978
- **Authorized official:** STACY RAE ANDREACCHIO FPMHNP (OWNER)
- **Authorized official phone:** (601) 917-1506

## Contact information

- **Practice address:** 3776 LAKE SHORE DR, LAUDERDALE, MS 39335-9426
- **Practice address phone:** (601) 917-1506
- **Mailing address:** 3776 LAKE SHORE DR, LAUDERDALE, MS 39335-9426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251V00000X | Voluntary or Charitable Agency | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 03/04/2026
