Organization · Type 2 NPI

Heart of A Phoenix Organization LLC

Psychiatric/Mental Health Nurse Practitioner · Fort Mill, SC

NPI number 1972181642 Active

Practice location

8180 Regent Pkwy Ste 117
Fort Mill, SC 29715-8417

Call (704) 626-6855 Map

Fax (704) 626-8162

Other practice locations

6047 Tyvola Glen Cir, Charlotte, NC 28217-6431 · (704) 626-6855

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Mina Home Care LLCHome Health Agency Fort Mill, SC NPI 1295440154
Shawndele Lanik Danzy, NPPsychiatric/Mental Health Nurse Practitioner Fort Mill, SC NPI 1467049015

Other psychiatric/mental health nurse practitioner providers in Fort Mill

See all in Fort Mill →

NPI record

NPI: 1972181642
Entity type: Organization (Type 2)
Issued: Apr 1, 2021
Last updated: Jun 24, 2026
Status: Active

Other names

<unavail>
Refreshed Minds and Wellness LLC · former legal business name
Heart of A Phoenix Organization · other name
Heart of A Phoenix Organization Llc/pllc · other name
Heart of A Phoenix Organization PLLC · other name

Authorized official

Ms. Shawndele Lanik Danzy, NP
CEO / Pmhnp-Bc
(704) 626-6855

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972181642

Heart of A Phoenix Organization LLC's National Provider Identifier is 1972181642, issued on Apr 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Mill, SC. The record was last updated on Jun 24, 2026.