Healthcare Provider Details

I. General information

NPI: 1891605135
Provider Name (Legal Business Name): BETHANY DANEIL MCCABE MMT, MT-BC, DC-L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETHANY GOINS MMT, MT-BC, DC-L

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6619 HICKORY NUT GAP RD
BANNER ELK NC
28604-6769
US

IV. Provider business mailing address

PO BOX 1863
BANNER ELK NC
28604-1863
US

V. Phone/Fax

Practice location:
  • Phone: 704-418-4406
  • Fax:
Mailing address:
  • Phone: 704-418-4406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number18335
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: