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360 Wellness Clinic LLC

Clinic/Center in Benton, AR · enumerated 2020 · authorized official Blake Torres, Owner.

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

National Provider Identifier

1366048803

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Registry record

Entity type Organization (Type 2)
Legal business name 360 Wellness Clinic LLC
Other name <Unavail>
Practice address 620 W South St Ste A, Benton, AR, 72015
Fax (501) 794-6148
Enumeration date Dec 9, 2020
Last updated in NPPES May 9, 2022

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Blake Torres
Title Owner

Other identifiers

Identifier Type State Issuer
119185001 Medicaid AR -
1205911849 Other AR NPI

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-05-09. Verify at npiregistry.cms.hhs.gov.
Where is 360 Wellness Clinic LLC located?
The practice location on file with NPPES is in Benton, AR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-05-09.