Provider Demographics
NPI:1396180972
Name:JEANNE A. FIELD MILLER D/B/A SUMMERHILL COUNSELING CENTER
Entity Type:Organization
Organization Name:JEANNE A. FIELD MILLER D/B/A SUMMERHILL COUNSELING CENTER
Other - Org Name:SUMMERHILL COUNSELING CENTER SUBSTANCE ABUSE TREATMENT FACILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FIELD MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LPC,LMFT,LCDC,NCC
Authorized Official - Phone:903-792-8887
Mailing Address - Street 1:4091 SUMMERHILL SQ
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2768
Mailing Address - Country:US
Mailing Address - Phone:903-792-8887
Mailing Address - Fax:903-792-8799
Practice Address - Street 1:4091 SUMMERHILL SQ
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2768
Practice Address - Country:US
Practice Address - Phone:903-792-8887
Practice Address - Fax:903-792-8799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11296261QR0405X
TX4172261QR0405X
ARP408022261QR0405X
TX003299-030394261QR0405X
TX9571261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80816LOtherBCBS OF TX
TX100978OtherOASIS BEHAVIORAL HEALTH
AR98096OtherBCBS OF AR
TX119588OtherMULTIPLAN
TX126784OtherCOMPSYCH
TX095309302Medicaid
TX201640OtherVALUE OPTIONS
TX62-08018OtherUNITED BEHAVIORAL HEALTH
TX2050566OtherCIGNA
TX7887121OtherAETNA