Provider Demographics
NPI:1235784042
Name:BANKS, TRILBY KAYLYN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TRILBY
Middle Name:KAYLYN
Last Name:BANKS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:TRILBY
Other - Middle Name:KAYLYN
Other - Last Name:YONKOVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:945 E MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2119
Mailing Address - Country:US
Mailing Address - Phone:864-531-2612
Mailing Address - Fax:
Practice Address - Street 1:25 WOODS LAKE RD STE 600
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2766
Practice Address - Country:US
Practice Address - Phone:864-531-2612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist