What does this directory page list?
Read the Psychedelic Therapy guide for the educational context behind this treatment category.
North Carolina
Psychedelic Therapy clinics in North Carolina
Searches for microdosing in North Carolina usually turn up two different things: informal, self-directed use of small psychedelic doses, outside any clinical oversight and not what this directory lists, and supervised psychedelic therapy delivered inside a licensed medical or mental health practice. The clinics here fall into the second category and mostly offer ketamine-assisted psychotherapy, since ketamine is currently the psychedelic-adjacent medication available for legal clinical use outside a research trial. Classic psychedelics such as psilocybin or MDMA are not legally available for treatment in North Carolina outside an approved study, so a clinic advertising microdosing support is describing coaching around the medication it is actually licensed to provide, not a different substance.
Clinical capacity is not spread evenly across the state. The Research Triangle around Raleigh and Durham and the Charlotte metro carry most of it, with a smaller cluster in the Piedmont Triad near Greensboro and Winston-Salem. Patients in the mountains around Asheville, along the coast, or in rural counties generally have far fewer local options and should expect to travel, often along I-40 or I-85, or to ask whether intake and follow-up can run partly by telehealth with less frequent in-person visits.
North Carolina does not set a licensing rule written specifically for psychedelic therapy. Prescribing and overseeing ketamine sits within ordinary physician and physician assistant scope of practice, and a registered nurse or other licensed staff commonly handles monitoring. You can verify a physician or physician assistant through the North Carolina Medical Board, and a nurse through the North Carolina Board of Nursing. Either lookup confirms an active license and public disciplinary history, though not how a practice structures its sessions or prices them.
Before booking, ask who supervises the appointment, exactly what is being administered and where it comes from, how risks are disclosed in writing, and what happens if treatment does not help. Ask for a written quote itemizing evaluation, medication and monitoring separately. Listing order here is not for sale, Featured placements are labeled and limited, Verified means a credential check rather than a paid upgrade, and Regenerated.com is free for patients to use. Being listed is not an endorsement. Read How to read a Regenerated city hub and Featured vs Verified vs organic for more on comparing entries.
8 Clinics
The Pisgah Institute
- Transcranial Magnetic Stimulation (TMS)
- Ketamine Therapy
- Psychedelic Therapy
Widening Circles
- Neurofeedback Therapy
- Ketamine Therapy
- Psychedelic Therapy
Mindpath Health Psychiatrists & Therapists
- Transcranial Magnetic Stimulation (TMS)
- Ketamine Therapy
- Psychedelic Therapy
Regulatory context
A note on North Carolina's psychedelic 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
Psychedelic Therapy clinics across the US