# NICOLE BEASLEY, PHD

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

## Provider details

- **NPI number:** 1922931922
- **Authorized official:** NICOLE WORDLAW PHD (COACH)
- **Authorized official phone:** (415) 336-5343

## Contact information

- **Practice address:** 1727 YORKTOWN DR, CHARLOTTESVILLE, VA 22901-3035
- **Practice address phone:** (415) 336-5343
- **Mailing address:** 1727 YORKTOWN DR, CHARLOTTESVILLE, VA 22901-3035
- **Mailing address phone:** (415) 336-5343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2026
- **Last updated:** 06/08/2026