Black Willow Holistic Center LLC
Black Willow Holistic Center LLC is a Religious Nonmedical Practitioner in Salem, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 Oglesby StSalem, IL 62881-2724
Phone: (618) 292-8518
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Religious Nonmedical Practitioner (primary) | Taxonomy 374K00000X |
|---|
Record details
| NPI number | 1184490872 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Candice Ullery — Owner · (618) 292-8518 |
| NPI enumerated | December 4, 2023 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 12, 2023 |
| Mailing address | 301 Oglesby St, Salem, IL 62881-2724 |