Individual provider · Type 1 NPI

Shelby Boom, LLMSW

Mental Health Counselor · Southfield, MI

NPI number 1639032345 Active

Practice location

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6851121040 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1639032345

Shelby Boom, LLMSW's National Provider Identifier is 1639032345, issued on Dec 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southfield, MI. The record was last updated on Dec 9, 2025.