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NPI Code Detail

MEDICARE: AFYA CARE AND TREATMENT SERVICES

MEDICARE: AFYA CARE AND TREATMENT SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174200000XMeals Provider
2251B00000XCase Management Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QM0850XAdult Mental Health Clinic/Center
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1518805423
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFYA CARE AND TREATMENT SERVICES
Provider Business Mailing Address
First Line : 225 LAURAS CV
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-1070
Country : US
Telephone Number : 662-888-6297
Fax Number : 662-434-4030
Provider Business Practice Location Address
First Line : 119 3RD ST S STE 2
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-5627
Country : US
Telephone Number : 662-888-6297
Fax Number : 662-434-4030
Authorized Official
Title or Position : CEO
Name : MR. JAMIL R. DAWSON
Credential : MBA
Telephone Number : 662-443-5505
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “AFYA CARE AND TREATMENT SERVICES ” Practice Location

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