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Revolutionary Change Counseling LLC

Mental Health Counselor in Apollo Beach, FL · enumerated 2017 · authorized official Shaana Wilson, Lmhc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811417645

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Registry record

Entity type Organization (Type 2)
Legal business name Revolutionary Change Counseling LLC
Practice address 1307 Apollo Beach Blvd S Unit 101, Apollo Beach, FL, 33572
Phone (813) 410-7025
Fax (813) 200-1180
Enumeration date Jun 22, 2017
Last updated in NPPES May 21, 2025

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

Authorized official

Name Shaana Wilson
Title Lmhc
Phone (813) 410-7025

Other identifiers

Identifier Type State Issuer
010658700 Medicaid FL -
120613000 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Revolutionary Change Counseling LLC?
NPPES lists Shaana Wilson (Lmhc) as the authorized official for this organization.
What is the NPI number for Revolutionary Change Counseling LLC?
The NPI for Revolutionary Change Counseling LLC is 1811417645, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-21.