MINDLAB LLC

NORTH 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 Date2023-10-03
Business Address
MINDLAB LLC
2423 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC 29582-4343
Phone number: 843-321-5099
Mailing Address
MINDLAB LLC
2423 HIGHWAY 17 S
NORTH MYRTLE BEACH, SC 29582-4343
Phone number: 843-321-5099
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