Boose, Shirin

Boose, Shirin is an sole proprietor health care provider with primary practice located at 18615 Detroit Ave Suite 103, Lakewood OH 44107. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Boose, Shirin can be contacted via phone (216) 230-4122.

Contact Information

Primary practice address
18615 Detroit Ave Suite 103 Lakewood OH 44107
Fax: (216) 431-4151
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C.0900656 Ohio

Profile Details

NPI number 1447505060
LBN Legal business name Boose, Shirin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2012
Last updated Jan 22nd, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447505060 NPPES
Ohio MEDICAID 0158461

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