Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Revolutionary Change Counseling LLC

Organization Mental Health Counselor · NPI 1811417645

Revolutionary Change Counseling LLC provides Mental Health Counselor services in Apollo Beach, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1307 Apollo Beach Blvd S Unit 101
Apollo Beach, FL 33572-3092
Phone: (813) 410-7025
Fax: (813) 200-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1811417645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaana Wilson — Lmhc · (813) 410-7025
NPI enumeratedJune 22, 2017
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address1307 Apollo Beach Blvd S Unit 101, Apollo Beach, FL 33572-3092

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