Healthcare Provider Details

I. General information

NPI: 1114861440
Provider Name (Legal Business Name): MATHES TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7705 ALDER FOREST ST
LAS VEGAS NV
89113-4696
US

IV. Provider business mailing address

7705 ALDER FOREST ST
LAS VEGAS NV
89113-4696
US

V. Phone/Fax

Practice location:
  • Phone: 239-446-1679
  • Fax:
Mailing address:
  • Phone: 239-446-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMES MATHES
Title or Position: CEO
Credential:
Phone: 239-446-1679