Field Miller, Jeanne A
Field Miller, Jeanne A is an sole proprietor health care provider with primary practice located at 4091 Summerhill Sq , Texarkana TX 75503-2768. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Field Miller, Jeanne A can be contacted via phone (903) 792-8887.Contact Information
Primary practice address
4091 Summerhill Sq
Texarkana TX 75503-2768
Phone: (903) 792-8887
Fax: (903) 792-8799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4172 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11296 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P408022 | Arkansas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 003299-030394 | Texas |
Profile Details
| NPI number | 1316098569 |
|---|---|
| LBN Legal business name | Field Miller, Jeanne A |
| Credentials | MS, LPC, LMFT, LCDC, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jun 2nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316098569 | NPPES |
| Arkansas | Other | 98096 | BCBS OF AR |
| Arkansas | Other | 62-08018 | BCBS OF AR |
| Arkansas | MEDICAID | 095309302 | BCBS OF AR |
| Arkansas | Other | 126784 | BCBS OF AR |
| Arkansas | Other | 201640 | BCBS OF AR |
| Arkansas | Other | 7887121 | BCBS OF AR |
| Arkansas | Other | 80816L | BCBS OF AR |
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