| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376121772 | TAPROOT THERAPY COLLECTIVE | 3204 ALTALOMA DR | VESTAVIA HILLS | AL | 352164265 | |||
| 1912505413 | BLACKSTOCK LLC | 3204 ALTALOMA DR | VESTAVIA HILLS | AL | 352164265 | |||
| 1790154490 | BLACKSTOCK | JOEL | THOMAS | 108 RALEIGH AVE | BIRMINGHAM | AL | 35209 |