Revolutionary Change Counseling LLC
NPI #1811417645 in Apollo Beach, Florida
Provider Information
- NPI Number
- 1811417645
- Entity Type
- Organization
- Organization Name
- Revolutionary Change Counseling LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 22, 2017
- Last Updated
- May 21, 2025
Practice Location
- Address
- 1307 APOLLO BEACH BLVD S UNIT 101
- City
- Apollo Beach
- State
- Florida
- ZIP Code
- 33572-3092
- Phone
- (813) 410-7025
Authorized Official
- Name
- SHAANA WILSON, M.S
- Title
- LMHC
- Phone
- (813) 410-7025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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