Individual ProviderJoy J WallarCounselorBehavioral Health & Social Service ProvidersPractice Address11605 W Dodge Rd Ste 4, Omaha, NE 68154-2566(402) 414-4773PECOS EnrollmentBased on the most recent information from CMS, provider Joy J Wallar does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1881272094Provider TypeIndividualFull NameWallar, Joy JCredentialMHPGenderFemaleSole ProprietorYesEnumeration Date3/30/2021Last Updated8/7/2023Contact InformationPractice LocationPractice Address11605 W Dodge Rd Ste 4, Omaha, NE 68154-2566Phone(402) 414-4773FaxUnlisted FaxMailing LocationMailing Address11605 W Dodge Rd Ste 4, Omaha, NE 68154-2566Phone(402) 414-4773FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4878Nebraska