HEART OF A PHOENIX ORGANIZATION LLC

FORT MILL, SC
NPI1972181642
Other NameHEART OF A PHOENIX ORGANIZATION PLLC
Other NameHEART OF A PHOENIX ORGANIZATION LLC/PLLC
Other NameHEART OF A PHOENIX ORGANIZATION
Entity TypeOrganization
Authorized ContactSHAWNDELE LANIK DANZY
CEO/President
803-518-9079
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-04-01
Last Update Date2025-11-21
Business Address
HEART OF A PHOENIX ORGANIZATION LLC
8180 REGENT PKWY STE 117
FORT MILL, SC 29715-8417
Phone number: 803-518-9079
Mailing Address
HEART OF A PHOENIX ORGANIZATION LLC
8180 REGENT PKWY STE 117
FORT MILL, SC 29715-8417
Phone number: 704-626-6855
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