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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
RWII23510 LGBT Life Center (Terminated)
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Main Details
Name
LGBT Life Center
Subdivision Name
Type
Ryan White Part B
340B ID
RWII23510
Grant Number
X07HA00009
Additional Details
Current Program Status
Terminated
Registration Date
3/22/2019
Participating Start Date
4/1/2019
Participating Approval Date
3/25/2019
Last Recertification Date
2/21/2022
Time Period the Assistance was Received
1/1/2019 - 3/31/2021
Termination Date
Termination Reason
4/1/2023
Failure to recertify
Contacts
Authorizing Official
LGBT Life Center
Stacie Walls-Beegle, CEO
(757) 640-0929 Ext: 215
Primary Contact
LGBT Life Center
Lindsay Taylor, Director of Data & Compliance
(757) 640-0929 Ext: 360
Addresses
Street Address
1001 Monticello Ave.
Suite 100
Norfolk, VA 23510
Billing Address
LGBT Life Center
222 W. 21st St. F-308
Norfolk, VA 23517
Comments
Medicaid Billing
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