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 is a Mental Health Counselor 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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