Provider Demographics
NPI:1003325556
Name:PAINTER-EDINGTON, ELMO G (LPC)
Entity type:Individual
Prefix:
First Name:ELMO
Middle Name:G
Last Name:PAINTER-EDINGTON
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 1:1545 BOYD AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405-3525
Mailing Address - Country:US
Mailing Address - Phone:773-546-8028
Mailing Address - Fax:
Practice Address - Street 1:1545 BOYD AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405-3525
Practice Address - Country:US
Practice Address - Phone:773-546-8028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor