# I-MEDIATEWYO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962909127
- **Authorized official:** MARK GASKILL MFT (CEO)
- **Authorized official phone:** (307) 414-0456

## Contact information

- **Practice address:** 520 E 18TH ST, CHEYENNE, WY 82001-4618
- **Practice address phone:** (307) 414-0456
- **Mailing address:** 5731 COCHISE RD, CHEYENNE, WY 82009-9655
- **Mailing address phone:** (307) 414-0456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | PMFT-284 | WY | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 04/12/2018