Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heart of a Phoenix Organization LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1972181642

Heart of a Phoenix Organization LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Mill, South Carolina. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8180 Regent Pkwy Ste 117
Fort Mill, SC 29715-8417
Phone: (704) 626-6855
Fax: (704) 626-8162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1972181642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawndele Danzy — Ceo / Pmhnp-Bc · (704) 626-6855
Other names Refreshed Minds And Wellness Llc; Heart Of A Phoenix Organization; Heart Of A Phoenix Organization Llc/Pllc; Heart Of A Phoenix Organization Pllc
NPI enumeratedApril 1, 2021
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address8180 Regent Pkwy Ste 117, Fort Mill, SC 29715-8417

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