TINA KATHLEEN GRAHAM PLPC
NPI 1740940840
Counselor - Mental Health in O Fallon, MO

Active since December 30, 2021
1001 BOARDWALK SPRINGS PL STE 111, O FALLON, MO 63368(636) 284-0408 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina Kathleen Graham Plpc NPPES

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

TINA KATHLEEN GRAHAM PLPC (NPI 1740940840) is an individual mental health provider in O Fallon, Missouri, licensed in Missouri (2021046275) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1740940840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA KATHLEEN GRAHAMCredential: PLPC
Location Address1001 BOARDWALK SPRINGS PL STE 111O Fallon, MO 63368-4777
Mailing Address545 Turkey Call CtTroy, MO 63379-2556
Sole ProprietorYes
Enumeration DateDecember 30, 2021
NPPES CertifiedDecember 1, 2021
NPI 1740940840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MO · 2021046275
1001 BOARDWALK SPRINGS PL STE 111, O Fallon, MO 63368

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Counselor
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Counselor (Professional)
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Dietitian, Registered
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Counselor (Mental Health)
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Counselor (Professional)
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Community/Behavioral Health
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Nurse Practitioner (Psychiatric/Mental Health)
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368
Social Worker (Clinical)
1001 BOARDWALK SPRINGS PL STE 111
O FALLON, MO 63368

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 Tina Graham's NPI number?

The NPI number for Tina Graham is 1740940840. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Tina Graham located?

Tina Graham practices at 1001 Boardwalk Springs Pl Ste 111, O Fallon, MO 63368. The listed phone number is (636) 284-0408.

What is Tina Graham's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Graham was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.