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

Individual provider Professional Counselor · NPI 1396330536

Tendra Statom, MED, LPC, NCC is a Professional Counselor in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

3170 Skinner Mill Rd Apt A6
Augusta, GA 30909-5030
Phone: (706) 319-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012156 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence APC006515 (GA)

Record details

NPI number1396330536
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPC , NCC
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESJune 6, 2022
Certification dateMay 30, 2022

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