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EMBODY THERAPY LLC
NPI 1962371575
Counselor - Mental Health in Glendale, WI

Active since November 03, 2025
6213 N GREEN BAY AVE, GLENDALE, WI 53209(414) 235-7443 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Nov 3, 2025 (2 updates tracked since 2025).

About Embody Therapy Llc NPPES

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

EMBODY THERAPY LLC (NPI 1962371575), doing business as Shoreside Therapies Glendale, is a healthcare organization registered as a mental health in Glendale, Wisconsin and active in the NPI registry since November 2025. The organization lists Alexandra Devine Yarmulnik, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1962371575
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameEMBODY THERAPY LLC
Location Address6213 N GREEN BAY AVEGlendale, WI 53209-3823
Mailing Address6213 N Green Bay AveGlendale, WI 53209-3823 · (414) 791-3130
Phone(414) 235-7443
Organization SubpartNo
Authorized OfficialAlexandra Devine YarmulnikOwner/therapist · (414) 791-3130
Enumeration DateNovember 3, 2025
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1962371575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
6213 N GREEN BAY AVE, Glendale, WI 53209
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Other Names 1

Doing Business AsShoreside Therapies Glendale

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ALEXANDRA DEVINE YARMULNIK LPC
Counselor (Professional)
6213 N GREEN BAY AVE
GLENDALE, WI 53209
Milwaukee County (414) 235-7443
DR. ROBERT A GRUENBERG PSY.D.
Psychologist (Clinical)
6213 N GREEN BAY AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 352-1144

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 Embody Therapy LLC's NPI number?

The NPI number for Embody Therapy LLC is 1962371575. It was assigned to this organization in the NPPES registry on November 3, 2025. The provider is doing business as Shoreside Therapies Glendale.

Where is Embody Therapy LLC located?

Embody Therapy LLC is located at 6213 N Green Bay Ave, Glendale, WI 53209. The listed phone number is (414) 235-7443.

What is Embody Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Embody Therapy LLC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.