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SECRET GURU PERMANENT MAKEUP
NPI 1033825062
Specialist/Technologist, Other - Art, Medical in North Chesterfield, VA

Active since January 24, 2023
587 SOUTHLAKE BLVD STE A, NORTH CHESTERFIELD, VA 23236(804) 895-7616 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Secret Guru Permanent Makeup NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECRET GURU PERMANENT MAKEUP (NPI 1033825062) is a healthcare organization registered as an art, medical in North Chesterfield, Virginia and active in the NPI registry since January 2023. The organization lists Christina Southers, Owner, as its authorized official.

NPPES Registry Identity

NPI1033825062
Entity TypeOrganization
Primary Taxonomy246ZA2600X
Legal Business NameSECRET GURU PERMANENT MAKEUP
Location Address587 SOUTHLAKE BLVD STE ANorth Chesterfield, VA 23236-3096
Mailing Address3511 Bellbluff DrNorth Chesterfield, VA 23237-1002
Phone(804) 895-7616
Organization SubpartNo
Authorized OfficialChristina SouthersOwner · (804) 615-7476
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1033825062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Art, MedicalTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZA2600X
587 SOUTHLAKE BLVD STE A, North Chesterfield, VA 23236
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA SOUTHERS MASTERS BOARD CERT.
Specialist/Technologist, Other (Art, Medical)
587 SOUTHLAKE BLVD STE A
NORTH CHESTERFIELD, VA 23236
Chesterfield County (804) 895-7616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Secret Guru Permanent Makeup's NPI number?

The NPI number for Secret Guru Permanent Makeup is 1033825062. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Secret Guru Permanent Makeup located?

Secret Guru Permanent Makeup is located at 587 Southlake Blvd Ste A, North Chesterfield, VA 23236. The listed phone number is (804) 895-7616.

What is Secret Guru Permanent Makeup's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Art, Medical, with taxonomy code 246ZA2600X.

When was this NPI record last updated?

The NPPES record for Secret Guru Permanent Makeup was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.