Provider Demographics
NPI:1013389816
Name:TALLENT, JOSHUA (MA, EDS, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:TALLENT
Suffix:
Gender:M
Credentials:MA, EDS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S LAUREL ST STE 3
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-3654
Mailing Address - Country:US
Mailing Address - Phone:980-284-2159
Mailing Address - Fax:
Practice Address - Street 1:701 S LAUREL ST STE 3
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092
Practice Address - Country:US
Practice Address - Phone:980-284-2159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-20
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11945101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health