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43 Best Ketamine Therapy Clinics in North Carolina

Compare clinic listings by treatment and location. A listing is not a medical endorsement. Organic rank is never for sale; Featured placements are labeled and separate from organic results.

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Read the Ketamine Therapy guide: evidence, costs and questions to ask

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, showing page 2 of 3

Prism Wellness
(24)
Physician status unknown

Prism Wellness

Cary, NC

Prism Wellness, a Ketamine Therapy Clinic in Cary, North Carolina, offers ketamine-assisted psychotherapy and ketamine-assisted therapy protocols for treatment-resistant depression, anxiety, PTSD, an…

  • Ketamine Therapy
  • NAD IV Therapy
Concierge Medicine & Psychiatry
(22)
Physician status unknown

Concierge Medicine & Psychiatry

Asheville, NC

Concierge Medicine & Psychiatry, in Asheville, offers ketamine therapy and psychedelic-assisted psychotherapy under board-certified physician oversight. The clinic focuses on treatment-resistant depr…

  • Ketamine Therapy
  • Psychedelic Therapy
Canto Integrative Psychiatry
(1)
Physician status unknown

Canto Integrative Psychiatry

Chapel Hill, NC

Canto Integrative Psychiatry offers ketamine therapy and ketamine-assisted psychotherapy in Chapel Hill and Durham, North Carolina. The clinic addresses treatment-resistant depression, anxiety, bipol…

  • Ketamine Therapy
The Taub Group
(70)
Physician status unknown

The Taub Group

Charlotte, NC

Neal S. Taub, MD, a regenerative-medicine clinic in Charlotte, offers platelet-rich plasma and prolotherapy injections for musculoskeletal and joint conditions, alongside acupuncture and dry needling…

  • PRP Therapy
  • Ketamine Therapy
  • Arthritis Treatment
Coastline Wellness
(20)
Physician status unknown

Coastline Wellness

Leland, NC

Coastline Wellness, a longevity-focused clinic in Leland, specializes in hormone replacement therapy, exosome therapy, and IV therapy alongside functional-medicine evaluation and ketamine therapy. Tr…

  • IV Therapy
  • Ketamine Therapy
  • Hormone Replacement Therapy (HRT)
Dine Integrative Therapy
Physician status unknown

Dine Integrative Therapy

Black Mountain, NC

Dine Integrative Therapy, a mental-health clinic in Mauldin, North Carolina, offers ketamine-assisted psychotherapy and psychedelic-integration services alongside traditional psychotherapy. The pract…

  • Ketamine Therapy
  • Psychedelic Therapy
The Pisgah Institute
(150)
Physician status unknown

The Pisgah Institute

Asheville, NC

The Pisgah Institute, a ketamine and psychedelic-assisted therapy clinic in Asheville, offers evidence-based mental-health treatment for treatment-resistant depression, anxiety, PTSD, and related con…

  • Transcranial Magnetic Stimulation (TMS)
  • Ketamine Therapy
  • Psychedelic Therapy
Charlotte Ketamine Center
(22)
Physician reported in record

Charlotte Ketamine Center

Charlotte, NC

Charlotte Ketamine Center, a Ketamine Therapy Clinic in Charlotte, offers IV ketamine infusions for patients with treatment-resistant depression, anxiety, and chronic pain conditions. The clinic spec…

  • IV Therapy
  • Ketamine Therapy
  • Migraine Treatment
Widening Circles
(4)
Physician status unknown

Widening Circles

Asheville, NC

Widening Circles, a mental-health clinic in Asheville, specializes in ketamine-assisted psychotherapy alongside neurofeedback and functional-medicine assessment. The practice combines evidence-based …

  • Neurofeedback Therapy
  • Ketamine Therapy
  • Psychedelic Therapy
Deep Flight Counseling
Physician status unknown

Deep Flight Counseling

Asheville, NC

Deep Flight Counseling, a ketamine-assisted-psychotherapy practice in Mauldin, specializes in existential and humanistic approaches to mental-health care for adults and couples. Matt Vest, LCMHCA, NC…

  • Ketamine Therapy
Cognitive Clarity
(8)
Physician status unknown

Cognitive Clarity

Apex, NC

Cognitive Clarity, a ketamine-therapy clinic in Apex, NC, offers ketamine-assisted psychotherapy for treatment-resistant depression, anxiety, and trauma. The practice combines ketamine treatment with…

  • Ketamine Therapy
  • Hormone Replacement Therapy (HRT)
The Art of Undoing - Craniosacral Therapy & Massage
(42)
Physician status unknown

The Art of Undoing - Craniosacral Therapy & Massage

Asheville, NC

The Art of Undoing, a ketamine-assisted therapy practice in Asheville, offers ketamine-assisted craniosacral therapy alongside standalone ketamine treatment and massage. The clinic specializes in tra…

  • Ketamine Therapy
Fresh Start Ketamine
(45)
Physician status unknown

Fresh Start Ketamine

Raleigh, NC

Fresh Start Ketamine, in Raleigh, provides ketamine therapy for treatment-resistant depression, anxiety, PTSD, and chronic pain. Ketamine is administered in a clinical setting as part of a structured…

  • Ketamine Therapy
Exhale Integrative Services
(10)
Physician status unknown

Exhale Integrative Services

Charlotte, NC

Exhale Integrative Services, a mental-health clinic in Charlotte, NC, offers psychedelic-assisted therapy and ketamine therapy alongside traditional counseling for children and adults. The practice f…

  • Ketamine Therapy
  • Psychedelic Therapy
Three Strand Wellness
(15)
Physician reported in record

Three Strand Wellness

Charlotte, NC

Three Strand Wellness, located in Charlotte, specializes in ketamine and psychedelic-assisted therapy alongside transcranial magnetic stimulation for treatment-resistant depression, anxiety, and PTSD…

  • Vitamin IV Therapy
  • PRP Therapy
  • IV Therapy
  • Transcranial Magnetic Stimulation (TMS)
  • Ketamine Therapy
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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.

  • 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.

Ketamine Therapy in , answered.

Supply is concentrated in Charlotte and the Raleigh-Durham-Chapel Hill area, with more options in the Triad around Greensboro and Winston-Salem. Western North Carolina near Asheville and the state's rural coastal and northeastern counties generally have fewer providers, so patients there often travel to one of these metro areas for evaluation, treatment, and follow-up. A statewide list does not capture every detail of availability, so confirm current scheduling, the formulation offered, and recovery logistics directly with any clinic before planning a trip.

Cost depends on the formulation used, who administers it, how much monitoring and psychotherapy are included, and the length of a treatment course. Intravenous ketamine for depression is usually cash pay, while esketamine nasal spray may be covered when a plan's clinical criteria are met. Ask your insurer about authorization and network status, and ask any clinic for a written quote that itemizes evaluation, medication, monitoring, and therapy separately. This page does not publish average prices because they vary by clinic and by patient.

Ketamine therapy is legal when delivered within ordinary medical and nursing practice rules rather than under any treatment unique to North Carolina. Physicians, physician assistants, and nurse practitioners can be involved in evaluation, prescribing, and monitoring depending on their scope of practice and supervision arrangements. Esketamine nasal spray carries its own federal approval and monitoring program. Ask any clinic directly how its staffing and supervision satisfy the state's general requirements for the credential involved.

Physicians and physician assistants can be verified through the North Carolina Medical Board, and nurses and nurse practitioners through the North Carolina Board of Nursing. Both boards publish license status and public disciplinary history online. A clean record confirms someone is licensed and in good standing; it does not confirm specific ketamine experience or predict a particular outcome. Combine a license check with direct questions about the clinician's training and the clinic's supervision arrangements.

Ketamine therapy is most often considered for depression that has not responded to standard treatments, and research also looks at anxiety, PTSD, and other conditions, though evidence for uses beyond depression remains more limited. People with certain cardiovascular, psychiatric, or substance use histories, including some considering it for bipolar disorder or addiction, are often evaluated more carefully or advised to pursue other options first. A thorough intake evaluation, not a brief phone call, should determine candidacy.

A statewide page like this one covers overall availability, state licensing bodies, and travel considerations for North Carolina as a whole, the way a page for Idaho or Illinois would for those states. A city-level search narrows to clinics and logistics in one metro area, while a plain web search mixes directories, individual clinic marketing, and informational articles without distinguishing labeled placements from organic listings or explaining how any of them were vetted.

Providers appear in an organic order that is not for sale, and any Featured placements are clearly labeled and limited in number so they cannot dominate the page. A Verified label means a clinic completed the credential checks described in this site's guides, not that it paid for better placement. Being listed here is not an endorsement of any specific provider, and patients can use the directory free of charge.

Ketamine is best studied for treatment-resistant depression, where intravenous use is off-label and esketamine nasal spray has a specific federal approval; evidence for other conditions such as PTSD, bipolar disorder, or addiction is more limited and still developing. Short-term effects can include dissociation, changes in blood pressure, nausea, and sedation, which is why sessions include monitoring and a recovery period before you can safely leave. Ask any clinic how it screens for risk factors and manages these effects during and after each session.

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