Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Black Willow Holistic Center LLC

Religious Nonmedical Practitioner in Salem, IL · enumerated 2023 · authorized official Candice Ullery, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184490872

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Registry record

Entity type Organization (Type 2)

Legal business name Black Willow Holistic Center LLC

Practice address 301 Oglesby St, Salem, IL, 62881

Phone (618) 292-8518

Enumeration date Dec 4, 2023

Last updated in NPPES Dec 12, 2023

Taxonomy & classification

374K00000X Religious Nonmedical Practitioner Nursing Service Related Providers Primary

Authorized official

Name Candice Ullery

Title Owner

Phone (618) 292-8518

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Black Willow Holistic Center LLC located?

The practice location on file with NPPES is in Salem, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-12.