OrganizationActive
I-Mediatewyo LLC
NPI 1962909127 · Marriage & Family Therapist · Cheyenne, WY
Provider details
- NPI number
- 1962909127
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Gaskill, Ceo(307) 414-0456
- License
- PMFT-284 (WY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
520 E 18th St
Cheyenne, WY 82001-4618
Phone: (307) 414-0456
Approximate (ZIP-level) locationGet directions
Mailing address
5731 Cochise Rd
Cheyenne, WY 82009-9655
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2018-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.