Healthcare Provider Details

I. General information

NPI: 1518805423
Provider Name (Legal Business Name): AFYA CARE AND TREATMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 3RD ST S STE 2
COLUMBUS MS
39701-5627
US

IV. Provider business mailing address

225 LAURAS CV
STARKVILLE MS
39759-1070
US

V. Phone/Fax

Practice location:
  • Phone: 662-888-6297
  • Fax: 662-434-4030
Mailing address:
  • Phone: 662-888-6297
  • Fax: 662-434-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMIL R. DAWSON
Title or Position: CEO
Credential: MBA
Phone: 662-443-5505