What does this directory page list?
Read the Ketamine Therapy guide for the educational context behind this treatment category.
North Carolina
Ketamine Therapy clinics in North Carolina
Ketamine therapy in North Carolina is concentrated in the state's largest metros, especially Charlotte and the Raleigh-Durham-Chapel Hill region, with more capacity in the Triad around Greensboro and Winston-Salem. Patients near Asheville or in rural coastal and northeastern counties typically have fewer nearby options and should expect to travel for evaluation, monitored treatment, and follow-up. Confirm current availability and recovery logistics before committing to a plan.
It helps to separate intravenous ketamine, usually given as an infusion in a medical office or infusion suite, from esketamine nasal spray, which has its own federal approval for certain treatment-resistant depression cases and is given under a federal monitoring program in a certified setting. Clinics across the state treating depression, anxiety, or PTSD with ketamine are generally working off-label for the infused form, since most psychiatric uses beyond the approved esketamine indication do not carry that approval.
North Carolina has no rules specific to ketamine therapy beyond the general federal and professional standards that apply to any physician, physician assistant, or nurse administering a controlled medication. Scope of practice determines who may evaluate, prescribe, and monitor treatment, and that varies by clinic. Ask who evaluates you, who is present during treatment, and how that satisfies ordinary supervision expectations, since a wellness or spa setting alone does not answer that.
Verify a physician's or physician assistant's standing with the North Carolina Medical Board, and a nurse's standing with the North Carolina Board of Nursing. A clean license confirms good standing; it does not confirm ketamine experience or predict your response. Before booking, ask about the clinician's credentials, what is administered and its source, how risks are disclosed in writing, and request an itemized quote covering evaluation, medication, monitoring, and follow-up.
This directory does not sell organic listing order, and any Featured placements are labeled and capped so they cannot dominate the page. A Verified label means a clinic completed credential checks, not that it paid for visibility, and Regenerated.com is free for patients; appearing in this directory is not an endorsement. See How to read a Regenerated city hub and Featured vs Verified vs organic for how to read any listing here.
43 Clinics,
Greenbrook Mental Wellness Centers
- Transcranial Magnetic Stimulation (TMS)
- Ketamine Therapy
InVigorate Asheville
- NAD IV Therapy
- Vitamin IV Therapy
- IV Therapy
- IV Hydration
- Ketamine Therapy
CAREolina Wellness
- NAD IV Therapy
- Vitamin IV Therapy
- IV Therapy
- IV Hydration
- Ketamine Therapy
Drip Hydration
- NAD IV Therapy
- Vitamin IV Therapy
- IV Therapy
- IV Hydration
- Ketamine Therapy
Zen Psychiatric Services, PLLC SPRAVATO (esketamine) & Ketamine Treatment Center
- Ketamine Therapy
Garden Path Ketamine
- IV Therapy
- Ketamine Therapy
- Hormone Replacement Therapy (HRT)
TMS Therapy and Esketamine for Depression
- Transcranial Magnetic Stimulation (TMS)
- Ketamine Therapy
Somatic Collaborative
- Ketamine Therapy
- Erectile Dysfunction (ED) Treatment
- Hormone Replacement Therapy (HRT)
Regulatory context
A note on North Carolina's ketamine therapy rules.
Ketamine is a DEA Schedule III controlled substance, FDA-approved as a dissociative anesthetic and used off-label for treatment-resistant depression, PTSD, and chronic pain. The FDA approved esketamine (Spravato) in 2019 for treatment-resistant depression under a Risk Evaluation and Mitigation Strategy (REMS) program that requires in-office administration at certified sites. MDMA-assisted therapy remains Schedule I; the FDA issued a Complete Response Letter in August 2024 to Lykos Therapeutics on its MDMA new drug application. Psilocybin is Schedule I and holds FDA Breakthrough Therapy designation through sponsors such as Compass Pathways and Usona, but has not received FDA approval. Oregon Measure 109 (passed 2020, operational 2023) created a state psilocybin service center framework, and Colorado Proposition 122 (2022) authorized regulated healing centers.
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HB 727 / Breakthrough Therapies Research Act (2023)
Proposed $5 million research grant for psilocybin and MDMA clinical studies at UNC institutions; pending. -
North Carolina Controlled Substances Act
Mirrors federal scheduling.
North Carolina enforces federal scheduling. The North Carolina Medical Board oversees prescriber conduct. DEA enforcement on ketamine clinics focuses on diversion and Ryan Haight Act telehealth rules. North Carolina's CSRS PDMP requires controlled substance reporting. UNC and Duke operate federally authorized clinical trials.
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Nationwide
Ketamine Therapy clinics across the US