Organization
ANDROK SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RAE ANDREACCHIO FPMHNP (OWNER)
(601) 917-1506
Entity
Organization
Contact information
Practice address
3776 LAKE SHORE DR, LAUDERDALE, MS 39335-9426
(601) 917-1506
Mailing address
3776 LAKE SHORE DR, LAUDERDALE, MS 39335-9426
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
03/04/2026
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