Shawn Tyson, - Counselor in Hartford, CT

Shawn Tyson, is a Counselor - Addiction (substance Use Disorder) based in Hartford, Connecticut. Shawn Tyson is licensed to practice in Connecticut (license number 1329) and his current practice location is 330 Main St Fl 1, Hartford, Connecticut. He can be reached at his office (for appointments etc.) via phone at (860) 778-9078.

NPI number for Shawn Tyson is 1164064044 and his current mailing address is Po Box 331271, West Hartford, Connecticut. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164064044.

Contact Information

Shawn Tyson,
330 Main St Fl 1,
Hartford, CT 06106-1851
(860) 778-9078
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameShawn Tyson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location330 Main St Fl 1, Hartford, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164064044
  • Provider Enumeration Date: 10/12/2019
  • Last Update Date: 10/12/2019

Medical Identifiers

Medical identifiers for Shawn Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164064044NPI-NPPES
1329MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 1329 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawn Tyson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shawn Tyson,
Po Box 331271,
West Hartford, CT 06133-1271

Ph: (860) 778-9078
Shawn Tyson,
330 Main St Fl 1,
Hartford, CT 06106-1851

Ph: (860) 778-9078

Reviews and Comments


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