Mindlab LLC
Mindlab LLC is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in North Myrtle Beach, SC, holding Type 2 (organization) NPI 1295515765 since 2023. The authorized official on file is Stacey Shaw, Pmhnp/Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295515765 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mindlab LLC |
| Practice address | 2423 HIGHWAY 17 S, North Myrtle Beach, SC, 29582 |
| Phone | 8433215099 |
| Enumeration date | 2023-10-03 |
| Last updated in NPPES | 2023-10-03 |
Authorized official
| Name | Stacey Shaw |
|---|---|
| Title | Pmhnp/Partner |
| Phone | 8433215099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Mindlab LLC NPI: 1295515765 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 2423 HIGHWAY 17 S, North Myrtle Beach, SC, 29582
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053860759 | Janice Jefferson | Individual | Home Health Agency | North Myrtle Beach, SC |
| 1093226789 | Stacey Shaw | Individual | Psychiatric/Mental Health Nurse Practitioner | North Myrtle Beach, SC |
| 1134912017 | Ebenezer of Mb | Organization | Personal Care Attendant | North Myrtle Beach, SC |
| 1811858988 | Dw Homecare LLC | Organization | In Home Supportive Care Agency | North Myrtle Beach, SC |
| 1023977964 | Hazel Cares LLC | Organization | Home Health Agency | North Myrtle Beach, SC |
Verify this record
Cross-check NPI 1295515765 against the authoritative CMS record: view Mindlab LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mindlab LLC?
What is the NPI number for Mindlab LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-03.