# HEART AND SOUL COLLABORATIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538886494
- **Authorized official:** RYAN HOOPER M.P.H., CHES (CEO/FOUNDER)
- **Authorized official phone:** (951) 255-1510

## Contact information

- **Practice address:** 7000 INDIANA AVE STE 114, RIVERSIDE, CA 92506-4155
- **Practice address phone:** (951) 255-1510
- **Mailing address:** 19069 VAN BUREN BLVD STE 114-431, RIVERSIDE, CA 92508-9169
- **Mailing address phone:** (951) 255-1510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2022
- **Last updated:** 10/25/2022