Heart of a Phoenix Organization LLC
NPI 1972181642 · Psychiatric/Mental Health Nurse Practitioner · Fort Mill, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heart of a Phoenix Organization LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Fort Mill, SC (NPI 1972181642).
Provider details
- NPI number
- 1972181642
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shawndele Danzy, Ceo/President(803) 518-9079
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Heart of a Phoenix Organization
- Other name
- Heart of a Phoenix Organization Llc/Pllc
- Other name
- Heart of a Phoenix Organization PLLC
- Former legal business name
- Refreshed Minds and Wellness LLC
Additional practice locations (1)
- 6047 Tyvola Glen CirPmb# 583Charlotte, NC 28217-6431Phone: (803) 518-9079Fax: (704) 626-6855
Registry dates
- Enumerated
- 2021-04-01
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Heart of a Phoenix Organization LLC's NPI number?
- Heart of a Phoenix Organization LLC's National Provider Identifier (NPI) is 1972181642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heart of a Phoenix Organization LLC?
- Heart of a Phoenix Organization LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Heart of a Phoenix Organization LLC located?
- Heart of a Phoenix Organization LLC's practice location on file with NPPES is 8180 Regent Pkwy Ste 117, Fort Mill, SC 29715-8417.
- What is Heart of a Phoenix Organization LLC's phone number?
- The practice phone number listed in the NPPES registry for Heart of a Phoenix Organization LLC is (803) 518-9079.
- Does Heart of a Phoenix Organization LLC accept Medicare?
- Heart of a Phoenix Organization LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heart of a Phoenix Organization LLC?
- The authorized official listed on Heart of a Phoenix Organization LLC's NPPES record is Shawndele Danzy, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heart of a Phoenix Organization LLC's NPI active?
- Yes — Heart of a Phoenix Organization LLC's NPI (1972181642) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.