Healthcare Provider Details

I. General information

NPI: 1255017786
Provider Name (Legal Business Name): MATTHEW JAMES ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 N ALAMEDA BLVD
LAS CRUCES NM
88005-2130
US

IV. Provider business mailing address

5739 VANEGAS DR
LAS CRUCES NM
88007-5868
US

V. Phone/Fax

Practice location:
  • Phone: 575-405-7146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LINDA LOPEZ
Title or Position: OWNER
Credential: MS, LMFT
Phone: 575-639-3545