Heart of a Phoenix Organization LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HEART OF A PHOENIX ORGANIZATION LLC

Practice address

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

Phone

(704) 626-6855

Fax

(704) 626-8162

NPI assigned

Apr 1, 2021

Last updated

Jun 24, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shawndele Lanik Danzy, NPNPI 1467049015

Title

Ceo / Pmhnp-BC

Phone

(704) 626-6855

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 4

• 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

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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.

• Shawndele Lanik Danzy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Mill, SC
  • NPI 1467049015
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1972181642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 REGENT PKWY STE 117",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158417",
            "telephone_number": "704-626-6855",
            "fax_number": "704-520-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 REGENT PKWY STE 117",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158417",
            "telephone_number": "704-626-6855",
            "fax_number": "704-626-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6047 Tyvola Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282176431",
            "country_code": "US",
            "telephone_number": "704-626-6855",
            "fax_number": "704-520-8162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART OF A PHOENIX ORGANIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "DANZY",
        "authorized_official_first_name": "SHAWNDELE",
        "authorized_official_middle_name": "LANIK",
        "authorized_official_title_or_position": "CEO / PMHNP-BC",
        "authorized_official_telephone_number": "704-626-6855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7553",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467049015",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00441136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refreshed Minds and Wellness LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Heart of a Phoenix Organization",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Heart of a Phoenix Organization LLC/PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Heart of a Phoenix Organization PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.