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

Thomas Shane Tyus, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407386121

Thomas Shane Tyus, CDCA is an Addiction (Substance Use Disorder) Counselor in Clinton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

6694 Taylor Rd
Clinton, OH 44216-9201
Phone: (330) 825-5202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OH)

Record details

NPI number1407386121
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJune 14, 2017
Last updated in NPPESJune 14, 2017
Mailing address945 Genoa Ave Sw, Massillon, OH 44646-9425

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