Healthcare Provider Details
I. General information
NPI: 1730008384
Provider Name (Legal Business Name): THE HUMAN RIGHTS ALLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1189 PARKWAY DR STE E2
SANTA FE NM
87507-7198
US
IV. Provider business mailing address
1189 PARKWAY DR STE E2
SANTA FE NM
87507-7198
US
V. Phone/Fax
- Phone: 305-335-9864
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
BOWEN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 305-335-9864