MEDICARE: BIPOC AND SEXUALITY CENTER

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

General Provider Information

NPI Number	:	1083427611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIPOC AND SEXUALITY CENTER

Provider Business Mailing Address
First Line	:	PO BOX 1254
Second Line	:
City	:	HATCH
State	:	NM
Zip	:	87937-1254
Country	:	US
Telephone Number	:	575-312-2705
Fax Number	:

Provider Business Practice Location Address
First Line	:	4915 BERYL ST
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-9425
Country	:	US
Telephone Number	:	575-312-2705
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/CEO
Name	:	DR. SANDRA YEZENIA GUTIERREZ
Credential	:	EDD, PHD, LCSW
Telephone Number	:	575-312-2705

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	03/26/2026

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Directions to “BIPOC AND SEXUALITY CENTER ” Practice Location

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