MEDICARE: AKOSUA AGGREY-BEKOE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C11870	MS
2	1041C0700X	Clinical Social Worker	9989	TN

General Provider Information

NPI Number	:	1861356503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKOSUA AGGREY-BEKOE

Provider Business Mailing Address
First Line	:	6952 DOGWOOD MNR N
Second Line	:
City	:	OLIVE BRANCH
State	:	MS
Zip	:	38654-2090
Country	:	US
Telephone Number	:	901-571-8911
Fax Number	:

Provider Business Practice Location Address
First Line	:	6952 DOGWOOD MNR N
Second Line	:
City	:	OLIVE BRANCH
State	:	MS
Zip	:	38654-2090
Country	:	US
Telephone Number	:	901-571-8911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	02/27/2026

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Directions to “ AKOSUA AGGREY-BEKOE ” Practice Location

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