Provider Demographics
NPI:1275065641
Name:RKO PSYCHOTHERAPY, P.A.
Entity Type:Organization
Organization Name:RKO PSYCHOTHERAPY, P.A.
Other - Org Name:TRINITY RELATIONSHIP SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:BRENT
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:214-458-0646
Mailing Address - Street 1:205 E US HIGHWAY 80
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8604
Mailing Address - Country:US
Mailing Address - Phone:214-458-0646
Mailing Address - Fax:972-552-2233
Practice Address - Street 1:205 E US HIGHWAY 80
Practice Address - Street 2:SUITE 110
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8604
Practice Address - Country:US
Practice Address - Phone:214-458-0646
Practice Address - Fax:972-552-2233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty