SHELBY BOOM, LLMSW

Counselor - Mental Health

Active Individual
NPI: 1639032345

Practice Address

29877 TELEGRAPH RD STE 400
Southfield, MI 48034

Phone: (248) 294-0539

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 6851121040 (MI)

Frequently Asked Questions

NPI 1639032345 is the National Provider Identifier for SHELBY BOOM, LLMSW, a Counselor - Mental Health provider located in Southfield, MI. This NPI was enumerated on December 9, 2025.
SHELBY BOOM, LLMSW practices at 29877 TELEGRAPH RD STE 400, Southfield, MI 48034.

Quick Facts

NPI
1639032345
Type
Individual
Enumerated
Dec 9, 2025
Last Updated
Dec 9, 2025

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