# AFFIRM MARRIAGE AND FAMILY THERAPY PLLC

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

## Provider details

- **NPI number:** 1366358608
- **Authorized official:** SAMANTHA TAVEL LMFT (OWNER)
- **Authorized official phone:** (631) 624-1842

## Contact information

- **Practice address:** 800 VETERANS MEMORIAL HWY STE CL180, HAUPPAUGE, NY 11788-2948
- **Practice address phone:** (631) 621-6717
- **Mailing address:** 800 VETERANS MEMORIAL HWY STE CL180, HAUPPAUGE, NY 11788-2948
- **Mailing address phone:** (631) 621-6717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2026
- **Last updated:** 08/19/2026