NPI 1043147119
Porchlight Marriage and Family Therapy
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
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.