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

Ssipp Select Basketball & Mentoring Program Non Profit

Organization Counselor · NPI 1396315792

Ssipp Select Basketball & Mentoring Program Non Profit is a Counselor in Gulfport, Mississippi. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
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Practice location Address checks out

3 Nottingham Cir
Gulfport, MS 39503-4021
Phone: (662) 519-1608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Nottingham Cir, Gulfport, MS 39503-4021

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1396315792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Bennett — Director · (662) 519-1608
Other names Ssipp Select Basketball & Mentoring Program Non Profit; Ssipp Select Basketball & Mentoring Non Profit
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 27, 2021
Mailing address3 Nottingham Cir, Gulfport, MS 39503-4021

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