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TRYSTAN ROBERT QUEEN CMS
NPI 1639665656
Counselor - Addiction (Substance Use Disorder) in Bainbridge, OH

Active since July 02, 2018
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612(740) 634-3094 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Feb 22, 2023, Jul 2, 2018 (3 updates tracked since 2018).

About Trystan Robert Queen Cms NPPES

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

TRYSTAN ROBERT QUEEN CMS (NPI 1639665656) is an individual addiction (substance use disorder) provider in Bainbridge, Ohio and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1639665656
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTRYSTAN ROBERT QUEENCredential: CMS
Location Address1071 TONG HOLLOW RDBainbridge, OH 45612-1500
Mailing Address178 Mill Run Rd Lot 107Waverly, OH 45690-8809 · (740) 825-2764
Phone(740) 634-3094
Sole ProprietorNo
Enumeration DateJuly 2, 2018
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1639665656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1071 TONG HOLLOW RD, Bainbridge, OH 45612
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Other Providers at the Same Location NPPES 20

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

KENNETH KUHNS
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
SAMANTHA GRAVES
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
MEGAN M WHITIS CDCA
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
CHRISTINE J YOAKEM
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
JENNIFER BRANHAM
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
PAUL KOEHLER
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
LIGHTHOUSE YOUTH SERVICES INC.
Counselor (Addiction (Substance Use Disorder))
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094
CHELSEA MENIKHEIM QMHS
Case Manager/Care Coordinator
1071 TONG HOLLOW RD
BAINBRIDGE, OH 45612
Ross County (740) 634-3094

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 Trystan Queen's NPI number?

The NPI number for Trystan Queen is 1639665656. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Trystan Queen located?

Trystan Queen practices at 1071 Tong Hollow Rd, Bainbridge, OH 45612. The listed phone number is (740) 634-3094.

What is Trystan Queen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Trystan Queen was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.