Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Tyson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164064044

Shawn Tyson is an Addiction (Substance Use Disorder) Counselor in Hartford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2019

Practice location Address checks out

330 Main St Fl 1
Hartford, CT 06106-1851
Phone: (860) 778-9078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1329 (CT)

Record details

NPI number1164064044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2019
Last updated in NPPESOctober 12, 2019
Mailing addressPo Box 331271, West Hartford, CT 06133-1271

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