PORCHLIGHT MARRIAGE AND FAMILY THERAPY
NPI 1043147119
Marriage & Family Therapist in Tupelo, MS

Active since May 05, 2026
113 CLARK ST STE 1, TUPELO, MS 38804(662) 205-0197(662) 346-2821 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Porchlight Marriage And Family Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORCHLIGHT MARRIAGE AND FAMILY THERAPY (NPI 1043147119) is a healthcare organization registered as a marriage & family therapist in Tupelo, Mississippi and active in the NPI registry since May 2026. The organization lists Martin Thomas Wildeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1043147119
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePORCHLIGHT MARRIAGE AND FAMILY THERAPY
Location Address113 CLARK ST STE 1Tupelo, MS 38804-4809
Mailing AddressPo Box 132Tupelo, MS 38802-0132 · (662) 205-0197 · Fax (662) 346-2821
Fax(662) 346-2821
Organization SubpartNo
Authorized OfficialMartin Thomas WildemanOwner · (662) 205-0197
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1043147119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
113 CLARK ST STE 1, Tupelo, MS 38804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
113 CLARK ST STE 1
TUPELO, MS 38804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Porchlight Marriage And Family Therapy's NPI number?

The NPI number for Porchlight Marriage And Family Therapy is 1043147119. It was assigned to this organization in the NPPES registry on May 5, 2026.

Where is Porchlight Marriage And Family Therapy located?

Porchlight Marriage And Family Therapy is located at 113 Clark St Ste 1, Tupelo, MS 38804. The listed phone number is (662) 205-0197.

What is Porchlight Marriage And Family Therapy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Porchlight Marriage And Family Therapy was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.