Organization · Type 2 NPI
Mindlab LLC
Psychiatric/Mental Health Nurse Practitioner · Myrtle Beach, SC
NPI number
1295515765
Active
Practice location
607 Briarwood Dr Ste 6
Myrtle Beach, SC 29572-6733
Fax (854) 237-5618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1295515765
Mindlab LLC's National Provider Identifier is 1295515765, issued on Oct 3, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 15, 2026.