# HEART OF A PHOENIX ORGANIZATION LLC

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- **Entity:** Organization
- **Status:** 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:** 1972181642
- **Authorized official:** MS. SHAWNDELE LANIK DANZY NP (CEO / PMHNP-BC)
- **Authorized official phone:** (704) 626-6855

## Contact information

- **Practice address:** 8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
- **Practice address phone:** (704) 626-6855
- **Practice address fax:** (704) 626-8162
- **Mailing address:** 8180 REGENT PKWY STE 117, FORT MILL, SC 29715-8417
- **Mailing address phone:** (704) 626-6855
- **Mailing address fax:** (704) 520-8162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 06/24/2026