Revolutionary Change Counseling Llc | |
1307 Apollo Beach Blvd S Unit 101 Apollo Beach FL 33572-3092 | |
(813) 296-7911 | |
(813) 200-1180 |
Full Name | Revolutionary Change Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1307 Apollo Beach Blvd S Unit 101, Apollo Beach, Florida |
Authorized Official Name and Position | Shaana Wilson (LMHC) |
Authorized Official Contact | 8132967911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Revolutionary Change Counseling Llc 1307 Apollo Beach Blvd S Unit 101 Apollo Beach FL 33572-3092 Ph: (813) 296-7911 | Revolutionary Change Counseling Llc 1307 Apollo Beach Blvd S Unit 101 Apollo Beach FL 33572-3092 Ph: (813) 296-7911 |
NPI Number | 1811417645 |
---|---|
Provider Enumeration Date | 06/22/2017 |
Last Update Date | 04/05/2024 |
Certification Date | 04/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811417645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
News Archive
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