Active NPIOrganization

Big Lake Behavioral, PLLC

Nurse Practitioner, Psych/Mental Health in Gilford, New Hampshire

NPI Number1811606676
Practice location
25 Country Club RD Unit 202, Gilford, NH 03249-6976
Fax
—
Last updated
October 24, 2023

Big Lake Behavioral, PLLC is a healthcare organization based in Gilford, NH. Big Lake Behavioral, PLLC practices in Gilford, NH. The NPI Number for Big Lake Behavioral, PLLC is 1811606676. The current practice location address for Big Lake Behavioral, PLLC is 25 Country Club RD Unit 202, Gilford, NH 03249-6976 and can be reached out via phone at 603-293-5546.

Provider Profile Details

NPI Number
1811606676
Provider Name
Big Lake Behavioral, PLLC
Provider Entity Type
Organization
Address
25 Country Club RD Unit 202, Gilford, NH 03249-6976
Phone Number
603-293-5546
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Sarah Mazzola, PMHNP-BC · Owner · 603-918-1735
Provider Enumeration Date
November 21, 2022
Last Update Date
October 24, 2023
Certification Date
October 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Country Club RD Unit 202
Gilford, NH 03249-6976
Zip
03249-6976
Phone Number
603-293-5546
Gilford, NH 03249Get directions →

Provider Business Mailing Address Details

Address
Po Box 6058
Laconia, NH 03247-6058
City
Laconia
State
NH
Zip
03247-6058

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Big Lake Behavioral, PLLC?

The NPI number of Big Lake Behavioral, PLLC is 1811606676. It was assigned on November 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Big Lake Behavioral, PLLC?

Big Lake Behavioral, PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Big Lake Behavioral, PLLC practice?

The practice location is 25 Country Club RD Unit 202, Gilford, NH 03249-6976. The office can be reached at 603-293-5546 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811606676 directly on the NPPES registry website.

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