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HEART OF A PHOENIX ORGANIZATION LLC
NPI 1972181642
Nurse Practitioner - Psychiatric/Mental Health in Fort Mill, SC

Active since April 01, 2021
8180 REGENT PKWY STE 117, FORT MILL, SC 29715(704) 626-6855(704) 626-8162 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2025, Nov 16, 2025, Sep 10, 2025 and 4 more (7 updates tracked since 2021).

About Heart Of A Phoenix Organization Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEART OF A PHOENIX ORGANIZATION LLC (NPI 1972181642), doing business as Refreshed Minds And Wellness Llc, is a healthcare organization registered as a psychiatric/mental health in Fort Mill, South Carolina and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Charlotte and lists Shawndele Lanik Danzy, Ceo / Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1972181642
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEART OF A PHOENIX ORGANIZATION LLC
Location Address8180 REGENT PKWY STE 117Fort Mill, SC 29715-8417
Mailing Address8180 Regent Pkwy Ste 117Fort Mill, SC 29715-8417 · (704) 626-6855 · Fax (704) 520-8162
Phone(704) 626-6855
Fax(704) 626-8162
Organization SubpartNo
Authorized OfficialShawndele Lanik DanzyCeo / Pmhnp-bc · (704) 626-6855
Enumeration DateApril 1, 2021
Last NPPES UpdateJune 24, 20267 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1972181642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8180 REGENT PKWY STE 117, Fort Mill, SC 29715
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Other Names 4

Former Legal Business NameRefreshed Minds And Wellness Llc
Other NameHeart Of A Phoenix Organization
Other NameHeart Of A Phoenix Organization Llc/pllc
Other NameHeart Of A Phoenix Organization Pllc

Secondary Practice Location 1

Location 16047 Tyvola Glen CirCharlotte, NC 28217-6431 · Phone (704) 626-6855 · Fax (704) 520-8162

Other Identifiers 3

Medicaid00441136NC
Medicaid1467049015MI
MedicaidNP7553SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heart Of A Phoenix Organization Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Heart Of A Phoenix Organization LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shawndele Danzy, NP
Nurse Practitioner
NPI 1467049015
8180 REGENT PKWY STE 117
Fort Mill, SC 29715
(803) 518-9079
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heart Of A Phoenix Organization LLC's NPI number?

The NPI number for Heart Of A Phoenix Organization LLC is 1972181642. It was assigned to this organization in the NPPES registry on April 1, 2021. The provider is also known as Heart of a Phoenix Organization, Heart of a Phoenix Organization LLC/PLLC and Heart of a Phoenix Organization PLLC. The provider was formerly known as Refreshed Minds and Wellness LLC.

Where is Heart Of A Phoenix Organization LLC located?

Heart Of A Phoenix Organization LLC is located at 8180 Regent Pkwy Ste 117, Fort Mill, SC 29715. The listed phone number is (704) 626-6855.

What is Heart Of A Phoenix Organization LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heart Of A Phoenix Organization LLC enrolled in Medicare?

Yes. Heart Of A Phoenix Organization LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heart Of A Phoenix Organization LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Heart Of A Phoenix Organization LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Heart Of A Phoenix Organization LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.