Provider Demographics
NPI:1720308901
Name:ENERGY FOLLOWS THOUGHT ENTERPRISES
Entity Type:Organization
Organization Name:ENERGY FOLLOWS THOUGHT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KUSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:407-963-9511
Mailing Address - Street 1:3907 PEPPERVINE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7710
Mailing Address - Country:US
Mailing Address - Phone:407-963-9511
Mailing Address - Fax:407-482-2304
Practice Address - Street 1:3907 PEPPERVINE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7710
Practice Address - Country:US
Practice Address - Phone:407-963-9511
Practice Address - Fax:407-482-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 76281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty