Provider Demographics
NPI:1235515255
Name:RIDENHOUR, BIZU SOLOMON (LPC)
Entity Type:Individual
Prefix:
First Name:BIZU
Middle Name:SOLOMON
Last Name:RIDENHOUR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 S ST NW STE B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6107
Mailing Address - Country:US
Mailing Address - Phone:202-234-7738
Mailing Address - Fax:
Practice Address - Street 1:1755 S ST NW STE B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-6107
Practice Address - Country:US
Practice Address - Phone:202-234-7738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC200001859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional