Healthcare Provider Details

I. General information

NPI: 1114817871
Provider Name (Legal Business Name): ONE STEP ONE CHANGE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2025
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14477 AMARGOSA RD STE 5
VICTORVILLE CA
92392-2340
US

IV. Provider business mailing address

113 N SAN VICENTE BLVD # 385
BEVERLY HILLS CA
90211-2329
US

V. Phone/Fax

Practice location:
  • Phone: 909-201-9017
  • Fax:
Mailing address:
  • Phone: 310-269-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. LASHONDA DEANN HUBBARD - CLICK
Title or Position: CEO
Credential: DIVINITY
Phone: 909-201-9017