Healthcare Provider Details

I. General information

NPI: 1366306466
Provider Name (Legal Business Name): PENGUIN COUNSELING AND RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 160TH ST S STE 101
SPANAWAY WA
98387-8508
US

IV. Provider business mailing address

PO BOX 382
ELBE WA
98330-0382
US

V. Phone/Fax

Practice location:
  • Phone: 253-878-0536
  • Fax:
Mailing address:
  • Phone: 253-878-0536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PAUL SCARBERRY
Title or Position: OWNER
Credential: LHMC-A, SUDP
Phone: 253-878-0536