Whalio Doctors

NPI 1043147119

Porchlight Marriage and Family Therapy

Organisation Marriage & Family Therapist Tupelo, MS

Practice location

Address
113 Clark St STE 1, Tupelo, MS 38804-4809
Phone
(662) 205-0197
Fax
(662) 346-2821
Mailing address
PO Box 132, Tupelo, MS 38802-0132

Authorised official

Name
Martin Thomas Wildeman
Title
Owner
Phone
(662) 205-0197

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X

Registry record

NPI
1043147119
Entity type
Organization
NPI issued
5 May 2026
Record last updated
5 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.