SHELBY BOOM LLMSW
NPI 1639032345
Counselor - Mental Health in Southfield, MI
About Shelby Boom Llmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY BOOM LLMSW (NPI 1639032345) is an individual mental health provider in Southfield, Michigan, licensed in Michigan (6851121040) and active in the NPI registry since December 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
SOUTHFIELD, MI 48034
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shelby Boom's NPI number?
The NPI number for Shelby Boom is 1639032345. It was assigned to this individual provider in the NPPES registry on December 9, 2025.
Where is Shelby Boom located?
Shelby Boom practices at 29877 Telegraph Rd Ste 400, Southfield, MI 48034. The listed phone number is (248) 294-0539.
What is Shelby Boom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Shelby Boom was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
