Black Willow Holistic Center LLC
NPI 1184490872 · Religious Nonmedical Practitioner · Salem, IL
Black Willow Holistic Center LLC is a Religious Nonmedical Practitioner organization in Salem, IL (NPI 1184490872).
Provider details
- NPI number
- 1184490872
- Entity type
- Organization
- Primary specialty
- Religious Nonmedical PractitionerNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Candice Ullery, Owner(618) 292-8518
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Frequently asked questions
- What is Black Willow Holistic Center LLC's NPI number?
- Black Willow Holistic Center LLC's National Provider Identifier (NPI) is 1184490872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Willow Holistic Center LLC?
- Black Willow Holistic Center LLC is classified in the NPPES registry as Religious Nonmedical Practitioner (Nursing Service Related Providers).
- Where is Black Willow Holistic Center LLC located?
- Black Willow Holistic Center LLC's practice location on file with NPPES is 301 Oglesby St, Salem, IL 62881-2724.
- What is Black Willow Holistic Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Willow Holistic Center LLC is (618) 292-8518.
- Who is the authorized official for Black Willow Holistic Center LLC?
- The authorized official listed on Black Willow Holistic Center LLC's NPPES record is Candice Ullery, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Willow Holistic Center LLC's NPI active?
- Yes — Black Willow Holistic Center LLC's NPI (1184490872) is active in the NPPES registry as of the last update on 2023-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.