Provider Demographics
NPI:1609287093
Name:MARCH, EDWARD VINCENT (LCAS, CASAC-M, LADC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:VINCENT
Last Name:MARCH
Suffix:
Gender:M
Credentials:LCAS, CASAC-M, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BEDFORD LN # B-46
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6066
Mailing Address - Country:US
Mailing Address - Phone:336-242-4320
Mailing Address - Fax:
Practice Address - Street 1:1801 BEDFORD LN # B-46
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6066
Practice Address - Country:US
Practice Address - Phone:336-242-4320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP61081797101YA0400X
IN87001639A101YA0400X
NYCASAC-MASTER101YA0400X
NCLCAS - 20781101YA0400X
101YP1600X
MELADC-LC7178101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral