Provider Demographics
NPI:1003338492
Name:MIN THU, KHIN (LMSW)
Entity Type:Individual
Prefix:
First Name:KHIN
Middle Name:
Last Name:MIN THU
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4236 LINDELL BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2948
Mailing Address - Country:US
Mailing Address - Phone:314-531-1155
Mailing Address - Fax:
Practice Address - Street 1:4236 LINDELL BLVD.
Practice Address - Street 2:SUITE 200
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108
Practice Address - Country:US
Practice Address - Phone:314-249-9242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker