Individual provider · Type 1 NPI

Timothy Graham

Peer Specialist · St. Petersburg, FL

NPI number 1023939550 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Mailing address

1640 Clearwater Largo Rd Apt 207
Clearwater, FL 33756-2539

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCRPS.0101354.V (FL)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1023939550

Timothy Graham's National Provider Identifier is 1023939550, issued on Jul 22, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 22, 2026.