Healthcare Provider Details

I. General information

NPI: 1568604320
Provider Name (Legal Business Name): THE TENA GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 ROOSEVELT TRL STE 12
WINDHAM ME
04062-5699
US

IV. Provider business mailing address

944 ROOSEVELT TRL STE 12
WINDHAM ME
04062-5699
US

V. Phone/Fax

Practice location:
  • Phone: 207-893-2930
  • Fax: 207-893-2939
Mailing address:
  • Phone: 207-893-2930
  • Fax: 207-893-2939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberDL368
License Number StateME

VIII. Authorized Official

Name: MR. EDOUARD A. GAUTHIER
Title or Position: PRESIDENT
Credential:
Phone: 207-893-2930