Provider Demographics
NPI:1457844466
Name:RED 2 BLACK CONSULTING , LLC
Entity Type:Organization
Organization Name:RED 2 BLACK CONSULTING , LLC
Other - Org Name:NAKEETSHA DRYER, PRIVATE PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKEETSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-883-7031
Mailing Address - Street 1:PO BOX 711
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-0711
Mailing Address - Country:US
Mailing Address - Phone:256-883-7031
Mailing Address - Fax:256-883-7032
Practice Address - Street 1:1015 AIRPORT RD SW STE 204
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1394
Practice Address - Country:US
Practice Address - Phone:256-883-7031
Practice Address - Fax:256-883-7032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty