| Name: | Blackstock LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Apr 2019 (6 years ago) |
| Entity Number: | 000-573-774 |
| Register Number: | 000573774 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Mailing Address: | 3204 ALTALOMA DR.VESTAVIA HILLS, AL 35216 |
| Registered Office Mailing Address ZIP Code: | 35216 |
| Registered Office Street Address: | 2025 SHADY CREST DRIVE SUITE #203HOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912505413 | 2020-10-15 | 2020-10-15 | 3204 ALTALOMA DR, VESTAVIA HILLS, AL, 352164265, US | 2025 SHADY CREST DR STE 203, HOOVER, AL, 352165417, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-999-9240 |
Authorized person
| Name | MRS. JOEL T BLACKSTOCK JR. |
| Role | OWNER / PSYCHOTHERAPIST |
| Phone | 2059999240 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAK, DOROTHY D | Organizer | 1819 FIFTH AVE NBIRMINGHAM, AL 35203 |
| Name | Role |
|---|---|
| BLACKSTOCK, JOEL T | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
