Healthcare Provider Details

I. General information

NPI: 1346679958
Provider Name (Legal Business Name): AIMEE CAMPAGNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 S MAIN ST
DAVIDSON NC
28036-8222
US

IV. Provider business mailing address

442 S MAIN ST STE 8
DAVIDSON NC
28036-7031
US

V. Phone/Fax

Practice location:
  • Phone: 980-272-8928
  • Fax:
Mailing address:
  • Phone: 980-272-8928
  • 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 Code1041C0700X
TaxonomyClinical Social Worker
License NumberC011737
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: