Organization
EMBODY THERAPY LLC
Active
Other names
Shoreside Therapies Glendale
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA DEVINE YARMULNIK LPC (OWNER/THERAPIST)
(414) 791-3130
Entity
Organization
Contact information
Practice address
6213 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 235-7443
Mailing address
6213 N GREEN BAY AVE, GLENDALE, WI 53209-3823
(414) 791-3130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/03/2025
Last updated
01/28/2026
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