Androk Services, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

ANDROK SERVICES, PLLC

Practice address

3776 Lake Shore Dr
Lauderdale, MS 39335-9426

Phone

(601) 917-1506

NPI assigned

Jun 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Rae Andreacchio, FPMHNP

Title

Owner

Phone

(601) 917-1506

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1710662978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3776 LAKE SHORE DR",
            "city": "LAUDERDALE",
            "state": "MS",
            "postal_code": "393359426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 LAKE SHORE DR",
            "city": "LAUDERDALE",
            "state": "MS",
            "postal_code": "393359426",
            "telephone_number": "601-917-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROK SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "ANDREACCHIO",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-917-1506",
        "authorized_official_credential": "FPMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Davis
• Isabel Katherine McDonnell, RD
• Keosha McGlothin
• Laraleigh Roberts, ATC
• Bianca Rush

• Adolescent and Children Mental Health Clinic/Center in Lauderdale, MS
• Providers in Lauderdale, MS by specialty
• Adolescent and Children Mental Health Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.