# BIG LAKE BEHAVIORAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811606676
- **Authorized official:** SARAH MAZZOLA PMHNP-BC (OWNER)
- **Authorized official phone:** (603) 918-1735

## Contact information

- **Practice address:** 25 COUNTRY CLUB RD UNIT 202, GILFORD, NH 03249-6976
- **Practice address phone:** (603) 293-5546
- **Mailing address:** PO BOX 6058, LACONIA, NH 03247-6058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2022
- **Last updated:** 10/24/2023