Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindlab LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1295515765

Mindlab LLC is a Psychiatric/Mental Health Nurse Practitioner in Myrtle Beach, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

607 Briarwood Dr Ste 6
Myrtle Beach, SC 29572-6733
Phone: (854) 237-5617
Fax: (854) 237-5618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1295515765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Shaw — Pmhnp/Partner · (843) 321-5099
NPI enumeratedOctober 3, 2023
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address607 Briarwood Dr Ste 6, Myrtle Beach, SC 29572-6733

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