Mindlab LLC
NPI 1295515765 · Psychiatric/Mental Health Nurse Practitioner · North Myrtle Beach, SC
Mindlab LLC is a Psychiatric/Mental Health Nurse Practitioner organization in North Myrtle Beach, SC (NPI 1295515765).
Provider details
- NPI number
- 1295515765
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stacey Shaw, Pmhnp/Partner(843) 321-5099
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-03
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Frequently asked questions
- What is Mindlab LLC's NPI number?
- Mindlab LLC's National Provider Identifier (NPI) is 1295515765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindlab LLC?
- Mindlab LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mindlab LLC located?
- Mindlab LLC's practice location on file with NPPES is 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343.
- What is Mindlab LLC's phone number?
- The practice phone number listed in the NPPES registry for Mindlab LLC is (843) 321-5099.
- Who is the authorized official for Mindlab LLC?
- The authorized official listed on Mindlab LLC's NPPES record is Stacey Shaw, Pmhnp/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindlab LLC's NPI active?
- Yes — Mindlab LLC's NPI (1295515765) is active in the NPPES registry as of the last update on 2023-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.