# SUNDANCE LIFE ENRICHMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063807113
- **Authorized official:** SHEA PHINNEY RIDLEY (PRESIDENT)
- **Authorized official phone:** (530) 401-2078

## Contact information

- **Practice address:** 3875 TAYLOR RD STE 204G, LOOMIS, CA 95650-9273
- **Practice address phone:** (530) 401-2078
- **Mailing address:** PO BOX 1525, LOOMIS, CA 95650-1525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 50023 | CA | Yes |

## Other

- **Enumeration date:** 04/04/2015
- **Last updated:** 04/04/2015