Healthcare Provider Details

I. General information

NPI: 1811815400
Provider Name (Legal Business Name): FEATHER HEART FAMILY THERAPY, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W RIVERSIDE DR STE 250
BURBANK CA
91505-4680
US

IV. Provider business mailing address

145 S GLENOAKS BLVD UNIT 3182
BURBANK CA
91502-1315
US

V. Phone/Fax

Practice location:
  • Phone: 818-536-9221
  • Fax:
Mailing address:
  • Phone: 818-536-9221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDI CEOLA MILLINER
Title or Position: LICENSED MFT
Credential: M.A.,PSYD.
Phone: 818-536-9221