OrganizationActive
360 Wellness Clinic LLC
NPI 1366048803 · Clinic/Center · Benton, AR
Provider details
- NPI number
- 1366048803
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Blake Torres, Owner
Practice location
620 W South St Ste a
Benton, AR 72015-4235
Phone: (501) 794-6123
Fax: (501) 794-6148
Mailing address
620 W South St Ste a
Benton, AR 72015-4235
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2022-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.