Individual provider · Type 1 NPI

Omega Rushing Autry, CDMS

Counselor · Charlotte, NC

NPI number 1174900435 Active

Practice location

416 Farmhurst Dr
Charlotte, NC 28217-4923

Fax (704) 523-0809

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X00046115 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174900435

Omega Rushing Autry, CDMS's National Provider Identifier is 1174900435, issued on May 6, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charlotte, NC. The record was last updated on May 6, 2015.