# MALLARD CREEK THERAPEUTIC SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427988146
- **Authorized official:** MRS. JACQUELINE WILLIAMS (OWNER)
- **Authorized official phone:** (704) 533-2870

## Contact information

- **Practice address:** 8765 BROWNE RD, CHARLOTTE, NC 28269-1166
- **Practice address phone:** (704) 533-2870
- **Mailing address:** 8765 BROWNE RD, CHARLOTTE, NC 28269-1166
- **Mailing address phone:** (704) 533-2870
- **Mailing address fax:** (704) 948-2047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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