| Iridescent Care Collaborative Llc | |
|
3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 | |
| (952) 484-6897 | |
| Not Available |
| Full Name | Iridescent Care Collaborative Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3754 Pleasant Ave Ste 205, Minneapolis, Minnesota |
| Authorized Official Name and Position | Michael S Merriam (SENIOR ADMINISTRATOR) |
| Authorized Official Contact | 9524846897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iridescent Care Collaborative Llc 3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 Ph: (952) 484-6897 | Iridescent Care Collaborative Llc 3754 Pleasant Ave Ste 205 Minneapolis MN 55409-1279 Ph: (952) 484-6897 |
| NPI Number | 1528930906 |
|---|---|
| Provider Enumeration Date | 09/23/2025 |
| Last Update Date | 09/23/2025 |
| Certification Date | 09/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528930906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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