Cochemiea theresae typically grows solitary with minimal branching.

The club-shaped fruits are embedded in the plant body and grow up to 10 millimeters long, containing black seeds.

[2] Cochemiea theresae is found in the Mexicanstates of Durango and Zacatecas growing in moss patches over limestone rock formations and in grassland with nearby pine-oak forest.

[3] Cochemiea theresae is found in northwest Mexico, in Durango, and was discovered in 1966 by American Therese Bock near Conetop Pass at 2,100 to 2,500 meters altitude.

Originally described as Mammillaria theresae by Ladislaus Cutak in 1967, the species honors Therese Bock, who discovered it.