Organization
IRIDESCENT CARE COLLABORATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S MERRIAM (SENIOR ADMINISTRATOR)
(952) 484-6897
Entity
Organization
Contact information
Practice address
3754 PLEASANT AVE STE 205, MINNEAPOLIS, MN 55409-1279
(952) 484-6897
Mailing address
3754 PLEASANT AVE STE 205, MINNEAPOLIS, MN 55409-1279
(952) 484-6897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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