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Organization
HEART OF A PHOENIX ORGANIZATION LLC
Active
Organization
HEART OF A PHOENIX ORGANIZATION LLC
Active
Other names
Heart of a Phoenix Organization LLC/PLLC, Refreshed Minds and Wellness LLC, Heart of a Phoenix Organization PLLC, Heart of a Phoenix Organization
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWNDELE LANIK DANZY NP (CEO / PMHNP-BC)
(704) 626-6855
Entity
Organization
Contact information
Practice address
8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
(704) 626-6855
(704) 626-8162
Mailing address
8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
(704) 626-6855
(704) 520-8162
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
06/24/2026
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