Healthcare Provider Details
I. General information
NPI: 1629279534
Provider Name (Legal Business Name): JEANNE A. FIELD MILLER DOING BUSINESS AS SUMMERHILL COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4091 SUMMERHILL SQ
TEXARKANA TX
75503-2768
US
IV. Provider business mailing address
4091 SUMMERHILL SQ
TEXARKANA TX
75503-2768
US
V. Phone/Fax
- Phone: 903-792-8887
- Fax: 903-792-8799
- Phone: 903-792-8887
- Fax: 903-792-8799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 4172 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 11296 |
| License Number State | TX |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 0032990-030394 |
| License Number State | TX |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | P08022 |
| License Number State | AR |
VIII. Authorized Official
Name:
JEANNE
A
FIELD MILLER
Title or Position: COUNSELOR
Credential: MS, LPC, LMFT, LCDC
Phone: 903-792-8887