MINDLAB LLC

MYRTLE BEACH, SC
NPI1295515765
Entity TypeOrganization
Authorized ContactSTACEY SHAW
Pmhnp/Partner
843-321-5099
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2023-10-03
Last Update Date2026-06-15
Business Address
MINDLAB LLC
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572-6733
Phone number: 854-237-5617
Mailing Address
MINDLAB LLC
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572-6733
Phone number: 854-237-5617
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