| Doctor Name: | MR. JOSHUA TALLENT |
| NPI Number: | 1013389816 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A, ED.S, LPCA, NCC |
| License Number: | A11945 |
| Business Practice Address: | 1243 E Dixon Blvd Ste 4 Shelby, NC - 281526893 |
| Business Phone Number: | 7044874000 |
| Business Fax Number: | |
| Mailing Address: | 2948 Landers Church Rd, LINCOLNTON |
| State: | NC |
| Postal Code: | 280926932 |
| Phone Number: | 7047407044 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2015 |
| NPI Last Update Date: | 10/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A11945 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |