MEDICARE: CONEFLOWER WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285583088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONEFLOWER WELLNESS LLC

Provider Business Mailing Address
First Line	:	177 STATE ST STE 401
Second Line	:
City	:	BRIDGEPORT
State	:	CT
Zip	:	06604-4806
Country	:	US
Telephone Number	:	203-581-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	177 STATE ST STE 401
Second Line	:
City	:	BRIDGEPORT
State	:	CT
Zip	:	06604-4806
Country	:	US
Telephone Number	:	203-581-2992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARISSA EVE FERRAO
Credential	:	LPC, ATR-P
Telephone Number	:	203-581-2992

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “CONEFLOWER WELLNESS LLC ” Practice Location

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