| Androk Services, Pllc | |
|
3776 Lake Shore Dr Lauderdale MS 39335-9426 | |
| (601) 917-1506 | |
| Not Available |
| Full Name | Androk Services, Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3776 Lake Shore Dr, Lauderdale, Mississippi |
| Authorized Official Name and Position | Stacy Rae Andreacchio (OWNER) |
| Authorized Official Contact | 6019171506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Androk Services, Pllc 3776 Lake Shore Dr Lauderdale MS 39335-9426 Ph: () - | Androk Services, Pllc 3776 Lake Shore Dr Lauderdale MS 39335-9426 Ph: (601) 917-1506 |
| NPI Number | 1710662978 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710662978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |