Healthcare Provider Details

I. General information

NPI: 1750203949
Provider Name (Legal Business Name): BRIDGET WAYCASTER NCCPSS, CADC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

486 SPAULDING RD
MARION NC
28752-5212
US

IV. Provider business mailing address

628 CANNON RD
MARION NC
28752-8257
US

V. Phone/Fax

Practice location:
  • Phone: 828-652-2919
  • Fax:
Mailing address:
  • Phone: 828-559-5902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: