Organization
BLACKSTOCK LLC
Active
Other names
Taproot Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOEL T BLACKSTOCK JR. LICSW MSW PIP (OWNER / PSYCHOTHERAPIST)
(205) 999-9240
Entity
Organization
Contact information
Practice address
2025 SHADY CREST DR STE 203, HOOVER, AL 35216-5417
(205) 999-9240
Mailing address
3204 ALTALOMA DR, VESTAVIA HILLS, AL 35216-4265
(205) 999-9240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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