Provider Demographics
NPI:1013401769
Name:BUR, THIN PHYU (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:THIN
Middle Name:PHYU
Last Name:BUR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:852 MDSA/SG
Mailing Address - Street 2:UNIT 3503
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09104
Mailing Address - Country:US
Mailing Address - Phone:314-458-3378
Mailing Address - Fax:
Practice Address - Street 1:852 MDS/SG
Practice Address - Street 2:UNIT 3503
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09104-3503
Practice Address - Country:US
Practice Address - Phone:314-458-3378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-17
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1041C0700X
MD200141041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical