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PHOENIX HOLISTIC & NUTRITIONAL CENTER
NPI 1104782689
Health and Wellness Coach in Ipava, IL

Active since December 29, 2025
10 N ORCHARD ST, IPAVA, IL 61441(309) 204-5133 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Holistic & Nutritional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HOLISTIC & NUTRITIONAL CENTER (NPI 1104782689) is a healthcare organization registered as a health and wellness coach in Ipava, Illinois and active in the NPI registry since December 2025. The organization lists Tonya L Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1104782689
Entity TypeOrganization
Primary Taxonomy171400000X
Legal Business NamePHOENIX HOLISTIC & NUTRITIONAL CENTER
Location Address10 N ORCHARD STIpava, IL 61441-5289
Mailing Address10 N Orchard StIpava, IL 61441-5289 · (309) 204-5133
Phone(309) 204-5133
Organization SubpartNo
Authorized OfficialTonya L DavisOwner · (331) 264-0736
Enumeration DateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1104782689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedReflexologistTaxonomy 173C00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedDance TherapistTaxonomy 225600000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedDoulaTaxonomy 374J00000X
10 N ORCHARD ST, Ipava, IL 61441
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TONYA L DAVIS ND
Health and Wellness Coach
10 N ORCHARD ST
IPAVA, IL 61441
Fulton County (309) 204-5133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Holistic & Nutritional Center's NPI number?

The NPI number for Phoenix Holistic & Nutritional Center is 1104782689. It was assigned to this organization in the NPPES registry on December 29, 2025.

Where is Phoenix Holistic & Nutritional Center located?

Phoenix Holistic & Nutritional Center is located at 10 N Orchard St, Ipava, IL 61441. The listed phone number is (309) 204-5133.

What is Phoenix Holistic & Nutritional Center's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

When was this NPI record last updated?

The NPPES record for Phoenix Holistic & Nutritional Center was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.