Active NPI
Mind, Medicine and Meaning LLC
- Psychiatry Physician
- Myrtle Beach, SC
National Provider Identifier
1992600035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MIND, MEDICINE AND MEANING LLC
- Practice address
- 1205 48TH Ave N Ste C
Myrtle Beach, SC 29577-5424 - Phone
- (843) 703-1674
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Casola, M.D.
- Title
- Owner & Medical Director
- Phone
- (843) 703-1674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1205 48TH Ave N Ste C
Myrtle Beach, SC 29577-5424
Mailing address
1205 48TH Ave N Ste C
Myrtle Beach, SC 29577-5424
Phone (843) 703-1674
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Myrtle Beach, SC
- NPI 1750873618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1992600035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 48TH AVE N STE C",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775424",
"telephone_number": "843-703-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 48TH AVE N STE C",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775424",
"telephone_number": "843-703-1674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND, MEDICINE AND MEANING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "CASOLA",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER & MEDICAL DIRECTOR",
"authorized_official_telephone_number": "843-703-1674",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.