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

Mia Tanya Stula Kellam, LAC

Individual provider Mental Health Counselor · NPI 1417114240

Mia Tanya Stula Kellam, LAC is a Mental Health Counselor in Bound Brook, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

339 W 2nd St
Bound Brook, NJ 08805-1833
Phone: (732) 356-1082
Fax: (732) 356-6327
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 37AC00041700 (NJ)

Record details

NPI number1417114240
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 20, 2008

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