Provider Type Icon

SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT NPI 1396315792


NPI Information

NPI: 1396315792
Provider Name: SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3 NOTTINGHAM CIR
GULFPORT, MS
ZIP 39503
Phone: (662) 519-1608
Get Directions

SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT is a community behavioral health in Gulfport, MS. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT NPI is 1396315792. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3 NOTTINGHAM CIR
GULFPORT, MS
ZIP 39503-021
Phone: (662) 519-1608

The provider's authorized official is Leonard C Bennett .
The authorized official title is Director and has the following contact phone number (662) 519-1608.

The enumeration date for this NPI number is 6/28/2021 and was last updated on 6/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3251C00000XDay Training, Developmentally Disabled ServicesNo
4251S00000XCommunity/Behavioral HealthYes
5253Z00000XIn Home Supportive CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.