Healthcare Provider Details
I. General information
NPI: 1447154885
Provider Name (Legal Business Name): SUNDIAL MARRIAGE & FAMILY THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
322 VISTA DEL MAR STE B
REDONDO BEACH CA
90277-5845
US
IV. Provider business mailing address
322 VISTA DEL MAR STE B
REDONDO BEACH CA
90277-5845
US
V. Phone/Fax
- Phone: 310-621-7968
- Fax:
- Phone: 310-621-7968
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ISABELLA
LAUGHLIN
Title or Position: PRESIDENT
Credential: LMFT, ATR-BC, CEDS-C
Phone: 310-621-7968