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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MINDLAB LLC
NPI 1295515765
Nurse Practitioner - Psychiatric/Mental Health in Myrtle Beach, SC

Active since October 03, 2023
607 BRIARWOOD DR STE 6, MYRTLE BEACH, SC 29572(854) 237-5617(854) 237-5618 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mindlab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDLAB LLC (NPI 1295515765) is a healthcare organization registered as a psychiatric/mental health in Myrtle Beach, South Carolina and active in the NPI registry since October 2023. The organization lists Stacey Shaw, Pmhnp/partner, as its authorized official.

NPPES Registry Identity

NPI1295515765
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDLAB LLC
Location Address607 BRIARWOOD DR STE 6Myrtle Beach, SC 29572-6733
Mailing Address607 Briarwood Dr Ste 6Myrtle Beach, SC 29572-6733 · (854) 237-5617 · Fax (854) 237-5618
Phone(854) 237-5617
Fax(854) 237-5618
Organization SubpartNo
Authorized OfficialStacey ShawPmhnp/partner · (843) 321-5099
Enumeration DateOctober 3, 2023
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1295515765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
607 BRIARWOOD DR STE 6, Myrtle Beach, SC 29572
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STACEY LYNN SHAW APRN
Nurse Practitioner (Psychiatric/Mental Health)
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572
Horry County (854) 237-5617
RENEE ELLEN WALTER APN
Nurse Practitioner (Psychiatric/Mental Health)
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572
Horry County (854) 237-5167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindlab LLC's NPI number?

The NPI number for Mindlab LLC is 1295515765. It was assigned to this organization in the NPPES registry on October 3, 2023.

Where is Mindlab LLC located?

Mindlab LLC is located at 607 Briarwood Dr Ste 6, Myrtle Beach, SC 29572. The listed phone number is (854) 237-5617.

What is Mindlab LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Mindlab LLC accept?

Health plans from Molina Healthcare list Mindlab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindlab LLC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.