Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelby Boom, LLMSW

Individual provider Mental Health Counselor · NPI 1639032345

Shelby Boom, LLMSW is a Mental Health Counselor in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661
Phone: (248) 294-0539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6851121040 (MI)

Record details

NPI number1639032345
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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