Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Omega Rushing Autry, CDMS

Individual provider Counselor · NPI 1174900435

Mrs. Omega Rushing Autry, CDMS is a Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

416 Farmhurst Dr
Charlotte, NC 28217-4923
Phone: (704) 523-0021
Fax: (704) 523-0809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 00046115 (IL)

Record details

NPI number1174900435
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDMS
Sole proprietorYes
NPI enumeratedMay 6, 2015
Last updated in NPPESMay 6, 2015

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