Healthcare Provider Details

I. General information

NPI: 1487497293
Provider Name (Legal Business Name): ERIK INBAR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 EARLE AVE
BANGOR ME
04401-3429
US

IV. Provider business mailing address

180 BANGOR MALL BLVD # 1029
BANGOR ME
04401-3632
US

V. Phone/Fax

Practice location:
  • Phone: 207-450-3793
  • Fax: 207-221-1503
Mailing address:
  • Phone: 207-450-3793
  • Fax: 207-221-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERIK INBAR
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 207-450-3793