# BLACKSTOCK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taproot Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912505413
- **Authorized official:** MRS. JOEL T BLACKSTOCK JR. LICSW MSW PIP (OWNER / PSYCHOTHERAPIST)
- **Authorized official phone:** (205) 999-9240

## Contact information

- **Practice address:** 2025 SHADY CREST DR STE 203, HOOVER, AL 35216-5417
- **Practice address phone:** (205) 999-9240
- **Mailing address:** 3204 ALTALOMA DR, VESTAVIA HILLS, AL 35216-4265
- **Mailing address phone:** (205) 999-9240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2020
- **Last updated:** 10/15/2020