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Organization
MALLARD CREEK THERAPEUTIC SERVICES
Active
Organization
MALLARD CREEK THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE WILLIAMS (OWNER)
(704) 533-2870
Entity
Organization
Contact information
Practice address
8765 BROWNE RD, CHARLOTTE, NC 28269-1166
(704) 533-2870
Mailing address
8765 BROWNE RD, CHARLOTTE, NC 28269-1166
(704) 533-2870
(704) 948-2047
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
310400000X
Assisted Living Facility
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
05/22/2026
Last updated
10/01/2026
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