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REVOLUTIONARY CHANGE COUNSELING LLC
NPI 1811417645
Counselor - Mental Health in Apollo Beach, FL

Active since June 22, 2017
1307 APOLLO BEACH BLVD S UNIT 101, APOLLO BEACH, FL 33572(813) 410-7025(813) 200-1180 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2025, Feb 13, 2025, Apr 5, 2024 and 2 more (5 updates tracked since 2017).

About Revolutionary Change Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVOLUTIONARY CHANGE COUNSELING LLC (NPI 1811417645) is a healthcare organization registered as a mental health in Apollo Beach, Florida and active in the NPI registry since June 2017. The organization lists Shaana Wilson, Lmhc, as its authorized official.

NPPES Registry Identity

NPI1811417645
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameREVOLUTIONARY CHANGE COUNSELING LLC
Location Address1307 APOLLO BEACH BLVD S UNIT 101Apollo Beach, FL 33572-3092
Mailing Address1307 Apollo Beach Blvd S Unit 101Apollo Beach, FL 33572-3092 · (813) 410-7025
Phone(813) 410-7025
Fax(813) 200-1180
Organization SubpartNo
Authorized OfficialShaana WilsonLmhc · (813) 410-7025
Enumeration DateJune 22, 2017
Last NPPES UpdateMay 21, 20255 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1811417645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1307 APOLLO BEACH BLVD S UNIT 101, Apollo Beach, FL 33572
Open in Google Maps ↗

Other Identifiers 2

Medicaid010658700FL
Medicaid120613000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHAANA D WILSON
Counselor (Mental Health)
1307 APOLLO BEACH BLVD S UNIT 101
APOLLO BEACH, FL 33572
Hillsborough County (813) 410-7025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revolutionary Change Counseling LLC's NPI number?

The NPI number for Revolutionary Change Counseling LLC is 1811417645. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Revolutionary Change Counseling LLC located?

Revolutionary Change Counseling LLC is located at 1307 Apollo Beach Blvd S Unit 101, Apollo Beach, FL 33572. The listed phone number is (813) 410-7025.

What is Revolutionary Change Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Revolutionary Change Counseling LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Revolutionary Change Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revolutionary Change Counseling LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.