Healthcare Provider Details
I. General information
NPI: 1407648017
Provider Name (Legal Business Name): UNIQUE CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
451 EASTLAND DR STE 5
TWIN FALLS ID
83301-7454
US
IV. Provider business mailing address
451 EASTLAND DR STE 5
TWIN FALLS ID
83301-7454
US
V. Phone/Fax
- Phone: 208-308-9347
- Fax: 208-556-7546
- Phone: 208-308-9347
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
MARIE
REEVES
Title or Position: OWNER/MENTAL HEALTH THERAPIST
Credential: LMSW
Phone: 208-308-9347