Provider Demographics
NPI:1447012091
Name:WOOD-KLIMEK, THERESA (LMFT)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:WOOD-KLIMEK
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7066 ARLO WAY
Mailing Address - Street 2:
Mailing Address - City:INVER GROVE HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55077-3431
Mailing Address - Country:US
Mailing Address - Phone:651-230-8437
Mailing Address - Fax:
Practice Address - Street 1:1854 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1403
Practice Address - Country:US
Practice Address - Phone:651-315-8266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1607106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist