Blackstock LLC

NPI #1912505413 in Hoover, Alabama

Provider Information

NPI Number: 1912505413
Entity Type: Organization
Organization Name: Blackstock LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 2025 SHADY CREST DR STE 203
City: Hoover
State: Alabama
ZIP Code: 35216-5417
Phone: (205) 999-9240

Authorized Official

Name: MRS. JOEL T BLACKSTOCK JR., LICSW MSW PIP
Title: OWNER / PSYCHOTHERAPIST
Phone: (205) 999-9240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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